1977, 04-04 Permit App: M0621 Residence Ccnty of Spokane. Washi
ington
r BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 44.00
PIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of
k nd or alter any building or structure already erected, or to change a land use. Construction must conform with' he
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 Kappen Constr. Inc. Address 2312 N. Pines Rd, 99200hone 928-8660
Architect Address Phone
Engineer Address
Kappen Constr. Inc, Address 2312 N. Pines Rd. 99206 Phone 928-8660
Contractor Phone
LegalDescription
9, lock 2,yRotchforct�Acrerii racftSm deed, t�`arceRt° t�)4543-Q1000209
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone Fire Zone
Si of Lot 150'x300' — Sewage Systemsepti C tank�7�++onst. frame
ri imensions 40x26, 22x24 1612
lFr., Conc., Br. c.)
Total Sq. Ft. V 39, 0.00
Rooms 6 Baths 2 Basement
full Foundation Const.concrete
free-Sa ��ing
(Full, part, none) Chimney Fireplace
(Kind)
Heat. System elect. FA Type of Roofing shake Ext. Finish WOO Int. Wall Finish gyp
(rfittber
I Use of Bldg. single family residence No. of Units
L Bedrooms 3
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 ESIDENTIA —COMMERCIAL State License No.
Ind. Ins. Acct. No.
See attached plot plan REQUIRED
House 1084 sq. ft.
Plumbing Permit
* Garage 528 sq. ft.
en
in Heating Permit
vs 1612 sq. ft.
-I Sewage Permit
-I
-1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby rtif inf r t' submitted is correct and there are no other structures located on this property except
as shown. i �A--- /K April 4, 1977
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
0'44, 741-A1(2— DO NOT WRITE BELOW THIS LINE
Your street address will be I'S-7e) e' _ /C �, 4�_ The zone i ��f.4,/L,{ � 1.G
Sewage Permit Number Issued _ Building Permit ' , Receipt , aL
fRemarks ' _____[
�� �� Issued
Form 523 Bldg. Code
KAPPEN CONSTRUCTION, INC.
;u
North 2312 Pines Road Requested Price • 7 _ --
Spokane, Washington 99216 Lot Cost b6' 7..) °12
928-8660
PLOT PLAN
,1 I- k-- a
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1 . / S-2 ® -Finish F1 oor LEL-
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FAA-Cash / ;356 # _2, 6.1_k-LoY ---�--- C =- rc /r1.4- _s
, Address:
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Mortgage Co. _,, v I,cjQ ,�
Poi er Co. ; Aater Co.
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Pium6e ,7-4 ---- Excavators4,,_&,i, ,I