1977, 09-29 Permit App: M3622 ResidenceClintY P of S okane, Wasagfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE $27.00
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.
NATER. 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 mostzones and under most circumstances, a set -back from the front property line,
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 LIIIE
of at
Kappen & Associates, Inc. E. 9212 Montgomery - #402 922-1690
Name o r Address Phone
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 11, Blk. 23 Early Dawn 2nd Addition
765ef,9-fes/K
DESCRIPTION OF WORK: New x Addition
Size of Lot 127.00' x 95.00'
'
Stories SE Dimensions 2 x 36
Rooms 5 Baths 1 Basement11 Founda
(Full, part, noneT—
Heat. System Elec. B/bd Type of Roofing
Remodel
Moving
Sewage System
tion Const
Concrete
Total Sq.
Bldg. Zone
Septic
894
Ft
Chimney
COmp. Ext. Finish WOOd
- Unfinished basement
Use of Bldg. Single Family Dwelling
Fire Zone
Const. Frame
(Fr., Conc.,$33,950.00 s,B eec,b
Valuation y U
none Fireplace none
(Kind) (Number
Int. Wall Finish GYP. .
No. of Units_ Bedrooms 2
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.
m
1
NORTH
RESIDENTIAL — COMMERCIAL
Scc Attached
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
r
I here certify information submitted is correct and there a no other strut res located on this property except
as shown e
Owner r gent ?'//7 7
Date
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 -17 y O , - ( .361' The zone is
Sewage Permit Number Issue2 Building Permit Receipt G (7 j -
Remarks 77 / �'1 !lQJ 1t1tt11tt
/ T QQQ
Form 52'8 Bldg. Code
Carl Kappen & Associates, Its.
F, 9212 Montgomery Suite 402
Spokane, Wn. 99206 922-1690
PLOT PLAN
Requested Price 3.3 9S. `=`
Lot Cost (r 1
1 -
ELEVATIONS:
Crown of Street
Finish Floor /i
(,1 �16/
37/
f
31
ys.
/`')/ )
v
rlere'/e. //,
120rki� t'a'rt'.
ra of i/L,r-O')
to /oro/, );N e_
R,
'/ Scale: 1 < ifs ,
Address: `C . 1� / D J I (AfmJ.
Psi
FAA -Case l
:Sq. Ft,.
Oo6
oZJ�
Mortgage Co.�, �1(C Q/t %''Qr
Power- Nater
PTum5er
Legal L O/14)JL
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;Excavator
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