1978, 04-06 Permit App: M5717 Residence i pi
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
7 GENERAL REQUIREMENTS PERMIT FEE $27.00
1 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 mast 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 water connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET-BACK 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 IN BELOW THIS LINE
Name of Owner Carl Kappen & Accociatpc, TnC4,ddress N 25 Millan, Suite 304 Phone 922-1690
Architect Address Phone
Engineer Address Phone
Contractor Carl Kappen & ASSOC , Inc Address N 25 Mullan, SUitP 304 Phonee922-1690
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number -'3 `pC 4/9
Lot 1, Blk. 1, Carter Addition
/V v./ kJ,v 7 bf .i
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone .--i___— Fire Zone.1
Size of Lot 80' X 135' Sewage System Septiconst. Frame
C
(Fr., onc., Br. etc.)
SE
Stories Dimensions 24' X 36' Total Sq. Ft. 900 Valuation 36,950
Rooms 5 Baths 1 Basement Full Foundation Const. concrete Chimney none Fireplace none
(Full, part, none- (Kind) (Nu ber
Heat. System Elec. b/bCype of Roofing Comp. Ext. Finish wood Int. Wall Finish gyp' bol.
Use of Bldg. Single Family dwelling - unfinished basementNo. of Units 1 Bedrooms 2
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.
NORTH State License No.
►� 6 /t DA/ E/L1
Ind. Ins. Acct. No.
ciiESIDEN z0--COMMERCIAL
See Attached
REQUIRED
Plumbing Permit
en Heating Permit
me us ut Sewage Permit
-6 -I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I ,V/0/7 V gat-%
SOUTH
b I hereby certify infor tion sub 'I d /is correct,�and�tthhere are no other structures located on this property except
as showns_ . 1(12 - 6a !� Z/",�" //�
/ Owner or At ateb
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
O. - -744DO NOT WRITE BELOW THIS LINE
Your street address will be /�.Z.a 7 L . :Zvi/,...S an,,cQ The zone is K,/,..,z/ /rrL� .zd.
Sewage Permit Number Issued Building Permit / 3 ° `';' Receipt �/D� Issued
Remarks
Form 523 Bldg. Code
1 cll, Carl Kappen & Requested Price ,36__L 950.
Associates, Inc. Lot cost '2}5'06. AZ'N. 25 Mullan, Suite 304, Spokane, WA 99206
14 Phone (509) 922-1690 PLOT PLAN
/I p ! ,[ ELEVATIONS: 4-,,,e)�0R 99T Crown of Street /.
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