1977, 10-04 Permit App: M3608 Residence ClintY Spokane,S okane, Wast ton
9
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE $40.00
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of r
kind or alter any building or structure already erected, or to change a land use. Construction must conform with
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 distur.
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 - suite tia.7.e 922-1690
Architect Address __- Phone
Engineer Address Phone -
Contractor Carl_ Kappen. & Associates, Tnc. Address R. 9212 MC,ntgaTlery - #402 Phone 922-1690
Legal Description of Property (Give complete description from deed, tax receipt. etc.)
Lot 13, Blk. 23 Early Dawn 2nd Addition _
d-6, 5 `f _ -/ 6 / c�
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone _/ Fireone -3
Size of Lot 127.00' x 95.00' Sewage System Septic Const. Frame
SE 24' x 36' x 24' x 22' 1422 (Fr., Conc.$B[,;� d.00
Stories - Dimensions Total Sq. Ft. Valuation .i
5 1 Full Concrete none none
Rooms Baths Basement Foundation Const. Chimney Fireplace
(Ful),part, none) (Kind) ( u ber
Elec. b/bcCo Wood Gyp. u'.
Heat. System Type of Roofing Ext. Finish Int. Wall Fini h
Use of Bldg. Single Family Dwelling Unfinished basement No. of Units Bedrooms 2
-L a--Zr
PLOT PLAN
il
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 RESIDENTIAL — COMMERCIAL State License No.
Ind. Ins. Acct. No.
0 See Attached '
CO REQUIRED
JO
Plumbing Permit
wn Heating Permit
'" a
uN Sewage Permit
- -I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
r Plans Mailed
SOUTH
I here., certify infor:tioi submitted is correct and theaht are no ther structures located on this property except
as shown.
Owner or Agen / Date A
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 -,,,___yG / El 5--7/ . / t"-- t-/The zone is -51(1-7(
Sewage Per
� Number Issued Building Permit ]ho y Receipt O_Z_l Issued
Remarks / �� � � / �� d000 Tv
Form 523 Bldg. Code
Carl Kappen & Associates, Irr ) N
E.- 9212,Montgomery Suite 402 Requested Price ..s7 Is-0 —
Spokane, Wn. 99206 922-1690 Lot Cost !, ..+j;1 t�'
.
PLOT PLAN 1-_
ELEVATIONS:
Crown of Street ' /.
Finish Floor .
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basic• ' Sq Ft. / '
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FAA-Case # `Job - -----F [d2LZ, �' I ) --7•-- �' �'
Address• 1 z ,�1.l 1 =&� 4 _ti--
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Mortgage / //�
Co,.a CL-'1SiZa../L6.19_1_a_ 019,,,L._ A bJrvi) 1 !)ii-t rk , ' , ; ,: b_c t'.
Power Co. ; Hatr-Co.
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�PTum6er ' Excavator
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