1977, 04-05 Permit App: M0415 Residence n
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Ccty of Spokane, Wash gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT JOB 35J
GENERAL REQUIREMENTS PERMIT FEE 42.00
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 most 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
t'we surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
p WAGE 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 Kappen Constr. Inc. Address 2312 N. Pines Rd. 99206 Phone 928-8660
Architect Address Phone -
Engineer Address Phone
Contractor Kappen Constr. Inc. Address 2312 N. Pines Rd. 99206 Phone 928-8660
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 'I , Block 5, Sherwood Forest Portion of Parcel # 20543-9027
x
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone I Fire
Size of Lot 81 'x135' Sewage System septic tank oast. frrame
(Fr., Conc., Br., etc.)
` Stories SE Dimensions 62x24 Total Sq. Ft. 1528 Valu tion 39,950.00
5 1 full concrete free-Sanding
Rooms Baths Basement Foundation Const.. Chimney Fireplace
f (F I, part, none) (Kind) timber
elect. �A shake DU
He- System Type of Roofing Ext. Finish WOOu Int. Wall Fini$h gyp• 2
e of Bldg. Single family residence No. of Units 1_Bedrooms
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dPLOT 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 RESIDENTIAL—COMMERCIAL State�Lic n/se No.
Ind. ns. Acct. No.
1000 sq. ft. (house)
528 sq. ft. (garage)
-1-52-8-sq. ft. REQUIRED
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Plumbing Permit
* see attached plot plan IR Heating Permit •
a N Sewage Permit
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Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby c ify information submitted is correct and there are no other structures located on this property except
as shown. / / April 5, 1977
Owner or Agent/r� � Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Ly?kitQr ,, DO NOT WRITE BELOW THIS LINE
Tow street address will be 9705' AO r Q.--- / The zone i ''�fr
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Sewage Permit Number Issued Building Permit- 0 t( (� Receipt 91(01 Issued
Remarks I
Form 523 Bldg. Code
KAPPEN -CONSTRUCTION, INC.
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North 2312 Pines Road Requested Pricey y t 0/.
Spokane, Washington 99216 Lot Cost 7 p-.
928-8660
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PLOT PLAN
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