1976, 01-14 Permit App: L2427 ResidenceAntly of Spokane, Washtgton as/
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT4/q
GENERAL REQUIREMENTS PERMIT FEE.?l/._-o-----------
PERMIT REQUIRED. A land use or structure cerin it is required by County Resolution to erect a bu i Id ing or structure of any
kind or alter any building or structure already erected, or to change a land use. Cons traction must conform with the
Spokane County Building Code and Zoning Ordinance. Construction Is subject to inspection.
WATER. Water auppIf east be approved by the County and State Health Departments. Where work on eater eonwetl ons disturb.
the surface, shoulder. or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in .11 cases by County Resolutions Now. 45433 aM 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a setback frac 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 -beck and Ingress
.ad egress.
COUNTY ROADS. Work on street right -of -say any 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 OP BUILDINGS. A permit is required to move an existing building. When a building is moved on a Cut or state
Highway, clearance meet be obtained from the County Engineer and/or State Highway Department. 11
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements ruining with the laud
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE_,
Nem. of Owner TI fyYa'C/� L 11,A y A Atldress Phone /�a-Oxiax"
Architect Address aO� Phone
Engineer Address Phone
Contractor B f nik �C . Address oil/a .V .'nrs ydo(0 Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
DESCRIPTION OF WORK: New Addition Remodel
Moving
Bid Zener Fire Zoo ��
Size or Lot S
sewage SYstem
,S�glCl Crnst.
/I �(
'lJie 1(a6' Z
, Conc., Br., etc.)
9 1F
9s.0
Wap
Stories D'
Total Sq.
Fc Valuationalb
-
Smith Basement ! Foundation Const.
Rooms Ba
C.
Chimney Non e� replace Q"
Fu . Pert, none
/
IN inch IN r
Heat. System �'Q�Type of Roofing Ext.
0�
Finish C/
Int. Well Finis/h
Use of Bldg./ -1-llrn t�/ PS'�Qar-e,
Use
P
No. of Units ter Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road
proposed building.; (4) distance to property lines antl streets; (5) dimensions,
tem and water supply lives.
NORTH RESIDENTIAL -COMMERCIAL
SOUTH
ph o
se
N
y
I hereby certify informa�y"ov submitted is correct and there are no other
as shown. Z ./ �
as; (3) location of existing and
a,.; (6) location Of sewage eye-
state License No.
Ind. Ina. An, No.
Plumbing Permit
Heating Permit_
Sewage Permit _
Plans Received -
Plans Checked _
Plans Returned
Plans Picked Up
Plans Mulled —
on this property except
Owner or Agfint' /Date
i OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
A PERMIT.
S•7;C]iI l:li T4•F11K_-1;i 1:1x7 Rill
Tour street address will be wrr. ' The one
Sewage Permit Number Issued Bufld iog Permit Receipt-
Remarks
eceipt_Remarks
From 523 Did,. Code
KAPPEN CONSTRUCTION, INC.
N. 2312- Pines Rd. - -
Spokane, Washington 99206 RequestedPrice X28,950 aO _
928-8'66fk Lot Cost if `f3 GrJ =
PLOT PLAN
,� ELE0AtI6MS:
N Crown of Street
-y�y# t _ _Finish Floor_
b UTLL�r� EASE ""r -------------yl
BB,O'
A,
I 1 �
M i M i
8
y a� nl
n 20 IQ'
I
2l.
! �
o�e;rA'ti/ 36� __ 2x
+a^ w.•t
eodak"
Ao'
w
i94 Rj
Lnk L
10E- AVENUE
Scale: n = �
-------------
Basic: g9I_ �� 1_Sg__Ft._8`/1 Legal 1 (�
-----` � I_oCK �. _ A D -- - oN
FHA Case # Job # _ `---------------�--- ----�---------- ---------------------
I
--------------- ...5 � --- ------s:
;____________ r_______.________________________________________________________
Mortgage Co. $OM n9 eaeE 1 SPECIAL INSTRUCTIONS: 2 aene�M, I gnTH, g7Ra-�--r
'
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GQH4E (2 op G, .AdL GA2AGE
Power Co. 1 Water Co.
Plumber Excavator
I.jR-kt AAtgs!_