1977, 09-29 Permit App: M3620 Residence Canty Spokane,of S , Wase9 ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
• APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTSPERMIT FEE $422.00
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 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 Carl Kappen & Associates, Inc Address E. 9212 Montgomery - #402 Phone 922-1690
Architect Address Phone
Engineer Address Phone
Contractor Carl Kappen & Associates, Inc. Address E. 9212 Montgortlery - #402 Phone 922-1690
Legal Description of Property (Give complete description from deed, tax receip , etc.)
Lot 14, Blk. 23 Early Dawn 2nd Addition ,,, a.. j 9 Z - clr,/
DESCRIPTION OF WORK: New x Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot 154.93' x 44.36' x 127.00' x 133.07' Sewage System Septic onst. Etame
�Fr., Conc., r , Pit 00
1 24' x 40' x 24' x 22' 1570 $ 9,
Stories Dimensions Total Sq. Ft. Valuation
1 Full Concrete none none
Rooms BathsBasement Foundation Const. Chimney Fireplace
—1T-14.l
part, none) (Kind) INumber
b
Heat. System Elec. Ty a of Roofing Comp Ext. Finish Wood Int. Wall Fini ' '
h
Use of Bldg. single family dwelling - unfinished basement No. of Units Bedrooms 3
PLOT PLAN
Draw etch 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 License No.
eInd. Ins. Acct. No.
See Attached
REQUIRED
Plumbing Permit
m Heating Permit
H 4 1 in Sewage Permit
I , ix131
i
Plans Received
/ Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I beret> certiify�rmat'on submitted is orrect ane ano other structures located on this property except'
a$ shown. (/ /9��
Owner or Age , / Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMIS S BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
,(�� 0 ,
Your street address will be g. /q'jv S — / " )6/-____ The zone is rwpr /r
Sewage Permit Number Issued Building Permit — Receipt a/-L ;sued
Remarks
Form 523 Bldg. Code
c ) .
CaA, Mitipen & Associates, Inc.
E. 9212 Montgomery Suite 402 Requested Price 9 f,5j "...-e-i
Spokane, Wn. 99206 922-1690 Lot Cost is 457) c,`ri
PLOT PLAN
ELEVATIONS: :;,) y
1
Crown of Street
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m Finish Floor 7'7 .
i 1) 0 96-3 .:.;"/ _,-frit„ a (i )
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a 7
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'� 1,414 ill
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Basic: _ ' Sq. Ft. -- o Legal f r ,,,d
ID ase-�tL(--;106 # Z 11 .f��Ql a.�r C'", _t_�G w"11 - ---- °l`a�
FA ease-/ Address: r-- fly
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Mortgage Co., // L} , 1
_J.[�.�/i l W� 1C - ¢r /'- OC4'M rJ 6.f . , L r _N .S n j/.
Power-Co:" er o
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CTum6er ; Excavator
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