1973, 03-26 Permit App: K957 Residence County of Spokane, Washington JOB #32
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT / 6
GENERAL REQUIREMENTS PERMIT FEE
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 must 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 PROM 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 7
Name of Owner Kappen Cnnstriict; nn Inc Address S . 25 Blake Road # 3 Phone Wa 4-0771
Architect Phone Engineer Phone
Contractor Kappen Construction Inc Address S . 25 Blake Road # 3 Phone Wa 4-0771
Legal Description of Property (Give complete description from deed, tax receipt, e c.)
Lot 10 , Block 1 , Craig Addition _ 1j
li
DESCRIPTION OF WORK:New X Addition Remodel Moving Bldg.Zone Fire Zone
Size of Lot 82x132 ' Sewage System septic Stories 1
frame 54x26
Const. Dimensions Total Sq.Ft. 1272 Valuation $-2 -Ø'
(Frame,concrete,brick,etc.)
--:2 G. t-z:
Rookns 6 Baths 1 BasementEU 1 1 Foundation Const. concrete Chimney Fireplace -
I (Full, part, none) (Kind) (Number)
Heat. System Electric Type of Roofing Comp Ext. Finish wood Int. Wall Finish gyp . b d .
Use of Bldg.
residence
No. of Units 1 Bedrooms 3
(garage or Carport Attachedattached carport Private Detatched
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.
Ind. Ins. Acct. )No.
See attached copy
REQUIRED
Plumbing Permit
m Heating Permit
m
vi H Sewage Permit
-4 -4
Plans
Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify info mation submitted is correct and there are no other structures located on this property except
as shown. /
c i LI C��-L-� . .0 /�'
ner or Agent Data
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
E THIS ISS NOTA PERMIT.
t r l6 '1 I DO NOT WRITE BELOW THIS LINE J
Your street address will be /l �% L� ,r••s -.2 le zone is>`�'f--) ' - --
Sewage Permit Number Issued_ Building Permit elf„✓')Receipt Issued
Remarks
11,;ii .
Form 523 Bldg. Code
(....-.7>• ;
KAPPEN CONSTRUCTION, INC. /
S. 25 Blake ..4 ' .
' > Spokane, Washington 99216 ), Requested Price
Wa 4-0771 Lot Cost 4- 3soo.1":
PLOT PLAN
1 -
I ELEVATIONS:
i
.
N : Crown of Street 4-p5-.08
1 : Finish Floor
Aft 82 '
> .
N •
.
I A ,
•
/,\ A
4.1
19'
, kg)
I ,
12`., 12' 12'
H -ALTH DisT.
—1 90C gallon
ENIV14V.RH2ECA19:T31-1
"9
cr,
— 4' -. B=1004 (\i - 14'
in
fik 2" walk'' ..
aJ
L .
V
..--
Nu.'
MI
‘i
77S
- . l
.........
821
12th Avenue
Scale:
• Basic: 1 Sy. Ft. 1004 Legal Lot 10, Block 1 , Craig Addition
T
FHA Case # 1 Job # L
32 Address:
4 '
Mortgage, Co. SPECIAL INSTRUCTIONS:
1
Power Co. i Water Co. i
1
4
Plumber 1 Excavator
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