1977, 09-29 Permit App: M3607 Residence 10citify of Spokane, Wasiegton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
• GENERAL REQUIREMENTS PERMIT FEE $32.00
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 mast 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 1p
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, IncAddress E. 9212 Montgomery - #402 Phone 922-1690
Architect Address _ Phone
Engineer Address Phone
Contractor Carl Kappen & Associates, Inc. Address E. 9212 Montgomery - #402 Phone 922-1690
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 12, Blk. 23 Early Dawn 2nd Addition _ 2 (, 5—y ,Z _ ga/d- P-4, ad.
DESCRIPTION OF WORK: New x Addition Remodel Moving Bldg. Zone / Fire awe
127.00' x 95.00' eptic Frame
Size of Lot Sewage System Const.
1 24' x 40' 1042 (Fr., Conc., 5,6r5b.00
Stories Dimensions Total Sq. Ft. Valuation
1 Full Concrete none none
Rooms Baths Basement Foundation Const. Chimney Fireplace
(Full art, none) (Kind) umber
Heat. System Elec. b/b Comp. Wood Gyp. E.
y Sepia,of RoofingExt. Finish Int. Wall Finish
Use of Bldg. Single Family Dweling - Unfinished basement No. of Units 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 RESIDENTIAL — COMMERCIAL State License No.
Ind. Ins. Acct. No.
See Attached
REQUIRED
Plumbing Permit
m Heating Permit
�^ H Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify inf tion submitted is correct an there are no other structures located on this property except
as shown. fcin _ 9
/,-V-X/7 7
Owner or Agent � Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISE EFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be /7 r/ 7 3bd 7 The zone is 7E/ -
Sewage Permit Number Issued Building Permit Receipt Cl (12-- Issued
Remarks 7J / g-
Form 523 Bldg. Code
f / •
Carl Kappen & Associates, Inc.
E, 9212 Montgomery Suits 402
Requested Price ..;.",f �5?7;
Spokane, Wn. 99206 922-1690 Lot Cost
. PLOT PLAN
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power Co. ; a er Co.
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