1973, 03-26 Permit App: K958 Residence Job # 36
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT of
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 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 Construction Inc Address S . 25 Blake # 3 Phone Wa 4-0771 C
Architect Phone Engineer Phone
Contractor Kappen Construction Inc Address S . 25 Blake # 3 Phone Wa 4-0 / /1
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 7 , Block 3, Craig Subdivision - Z
DESCRIPTION OF WORK:New X Addition Remodel Moving Bldg.Zone / Fire Zone 3
Size of Lot 105 . 2 2 ' x 9 1 x 12 5 ' x 71 . 12 Sewage System septic Stories 1
Const. f r a inn Dimensions S 4 x 2 6 Total Sq.Ft. 1272 Valuation$26 , 600 . 00
(Frame,concrete,brick,etc.)
H"ooms 6 Baths 1 Basement f 1-11 l Foundation Coast. concrete Chimney 1" Fireplace
(Full, part, none) (Kind) (Number)
Heat. System F.1 e C t r_LC—_Type of Roofing comp Ext. Finish WO O d Int.Wall Finish gyp • b d .
Use of Bldg. residence No. of Units 1 Bedrooms 3
Garage or Carport Attached— 14 ' x22attached garage Private Uetatched
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.
REQUIRED
See attached copy
Plumbing Permit
Heating Permit
N N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby/certify rmation submitted is correct and there are no other struct res located on this property except
as shown.
1 Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
1IHIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be J (E /-5',,'i J "x u e zone is
Sewage Permit Number Issued Building Permit Receipt 6' S Issued
Remarks
Form 523 Bldg. Code
TT
KAPPEN CONSTRUCTION, INC,
S. 25 Blake
i Spokane, Washington 99216 Requested Pri cc 1x' 3,3"..47
Wa 4-0771 Lot Cost '9_9500. a°
i4 PLOT PLAN _ _
ELEVATT NS:
I N > : Grown of Street +7/. /7
Finish Floor i._. X05/. 13 CD
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HALTH D Jr '
Scale:
Basic: 1004 T Sy. Ft.1004 Legal Lot 7, Block 3, Craig Subidivisi n
FHA Case # ; Job # 36 ALT4-DST•
1Aduress:
4 r fQR-2 6 x073
Mortgage Co. SPECIAL INSTRUCTIONS:
r ENV. HEALTH
Power Co. 1 Water Co.
1
a
Plumber F Excavator
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