1972, 04-17 Permit App: J2838 Residence •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT U
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kind or alter any building or structure already erected, or to change a land use. Construction must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where work on uater connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE'VtTEM Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235. ` . .,.
SET-RACK FROM PROPERTY LINES. In most zones and under most circumstances, a set-back from the front property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set-back and ingress
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IPI BELOW THIS LINE
Name of Owner KApper-, lelmsI / Tric. Address -- • , ., Phone (,C/A`-P'77/
Architect Phone Engineer Phone
Contractor Kapp., Lfermsi,, 1-n E, Address /SSG/y E, c fie.4.7 ur. Phone (d1,4y-Q'7171
Legal Description of Property J)(Give complete description from deed, tax receipt, etc.) i•o� .4, Blot A' L
[ft7,e1'CJA S'i6df(/sn4/
DESCRIPTION OF WORK:New X Addition Remodel Moving Bldg.Zone L Fire Zone
Size of Lot 1P0'X /3S' x ?O' X //S' Sewage System SC(7/6 T.44k Stories / I'S--
Const.
_Const. f''#-14e. Dimensions As/`X ''4/01 X—?e`/.,..Q ' Total Sq. Ft. /94'O Valuation ,OW,O n
(Frame,concrete,brick,etc.)
Rooms 7 Baths /J- Basement pad Foundation Const. e,cmG,Pe/e.... Chimney, Fireplace —
(Full, part, none) (Kind) (Number)
Heat. System ejeezikra Type of Roofing &O?n1); Ext. Finish ie_mo d' Int. Wall Finish 9'y f bo, 1
Use of Bldg. Re S,'dam,r. �' L No. of Units / Bedrooms y
Garage or Carport Attached �/(14 e_4 d' 9 4 A7.67 P Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines. Q State License No.
- j/�Qd �' NORTH ,
?i2-6
Ind. Ins. Acct. No.
3D
��, REQUIRED
4 Jo/ 4 .8,„„ 4
,t
Plumbing Permit
l00 mLI
Heating Permit
mcnSewage Permit
-. e`
Plans Received
P 0 Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH 90'
I hereby c tify informs ion s bmitted is correct and there are no other structures located on this property except
as shown. •7-
Owner or Agent' 1 Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
fg
DO NOT WRITE BELOW THIS LINE
/ / /
Your street address will be / — i '—` 77,11::::;-;:-:2;;E7-----
rhQ zone is
Sewage Permit Number Issued Building Permit Re otpt�t ` b — Issued
Remarks • _.
I___
i
t e
Form 523 Bldg. Code
4c11 'South `-^
4.
•
East-. Y ._ West
North
-0- 90' -0-
Lot 3 , Block 2, Patricia Subdivision $22,000.00
Tract 71 , Vera 1000 sq. ft. Split Ent
4 Bedrooms
1 1/2 Bath
20 'x22 ' attached garag,
No fireplace
1 i
d 4
0
v �n
S.
r
V)
12' i '__,L�..12'�,. M
11 7^co r lOQO gal .
_C N
U >(Ts _
• OF
°' +.5 60' '42"pad + •
.5
•,- Basic 1000 N`
20' ------H' St. Gable ! garage `V
�-,,_�T 10'
Floor Level +63
1
40... x�._. .0
i 42 :porch .._ a) a
4
a 2"walk
L
30- ':\S\\'
R=20 � O
U
-0- 70' -0- Center of Street -0-
Level Lot
L:21-c61-, / Curbing
- _ - T. d
(paved street) -