1977, 04-04 Permit App: M0625 Residence Ciiiinfy of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 44.00
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of
kind or alter any building or structure already erected, or to change a land use. Construction must conform with tthe
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 wort-must-41e
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. Inco Address 2312 N. Pi npc Rd. 99206 Phone 928-8660
Architect Address Phone
Engineer Address Phone
contractor Kappen Constr. Inco Address 2312 N. Pines Rd, 99206 Phone 928-865.0
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Int 2, Rlnrk 2, Rotrhford Acre Tracts Parcel # 24543-0202
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone Fire Zone
biz_,; Lpt 150'x300' Sewage SysterSeptic tank const. frame
V(es ` `D'?nensions 40x26, 22x24 l, Br., etc.)
Total sq. Ft. 1612 Va(Fluation
39,950.00
Rooms 6 Baths2 Basement full Foundation Const.. Concrete
Full, part, none) Chimney free—Stl1�,j
Heat. System elect. (Kind) (Number
yFA Type of Roofing shake Ext. Finish wood Int. Wall Finish gyp.,U_Ap of Bldg. single family residence No. of Units
L.Bedrooms
(`e 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 ESIDENTIAL — COMMERCIAL State License No.
X
Ind. Ins. Acct. No.
See attached plot plan
House 1084 sq. ft. REQUIRED
Garage 528 sq. ft. Plumbing Permit
* 1612 sqa ft. r++ Heating Permit
Sewage Permit
1 iA
1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby �rtify informa_tio submitted is correct and there are no other structures located on this property except
as shown. / /
'� �, ^ �7 -_ ,_ / April 4, 1977
e � /
Owner o A nt 7 Date
1 A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be /,5-.O--.q //X; -1)-e-
t L /The zone i l�. fes "
Sewage Permit Number_ Issued Building Permi Receipt Issued
Remarks
•
Form 523 Bldg. Code
KAPPEN CONSTRUCTION, INC. Requested Pricei:,?t 1 s--
North 2312 Pines RoadLot Cost S� ,d
Spokane, Washington 99216
928-8660 PLOT PLAN `)-
ELEVATIONS: ) a
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Power-Co. -;Water Co. - .
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