1977, 10-04 Permit App: M3606 Residence C nfy of Spokane, Wasitgfon
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 structe-, of any
kind or alter any building or structure already erected, or to change a land use. Construction must conform • tie
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 dist,
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, Ifl( dress E. 9232 Montgomery - #402 Phone 922-1690
Architect Address Phone
Engineer Address Phone
Contractor Carl Kappen & Associates, Inc. Address F. 9212 Mnntgm ry - #402 Phone 922-1 h9M
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 10, Blk. 23 Early Dawn 2nd Addition 9. 6 S (7 9_ c7
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot 127.00' x 95.00' Sewage System Septic Const. Frame
(Fr., Conc., r etc.1
SE 24'x36' x 24' x 22' 1422 $37,950.00
Stories- Dimensions Total Sq. Ft. Valuation
Rooms 5 Baths 1' Basement Full Foundation Const. Concrete Chimney none Fireplace none
(Full, part, none) (Kind) (Nu ber
Heat. Srt<r• B•bd• Tye of Roofing Comp. Ext. Finish Wood Int. Wall Finish Gyp. Bd.
se of Bldg. Single Family Dwelling - Unfinished basement No. of Unit Bedrooms 2
PLOT PLAN
Draw sketch with dimensions howing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines arid streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH RESIDENTIAL — COMMERCIAL State License No.
(00'
Ina. Ins. Acct. No.
See Attached
REQUIRED
Plumbing Permit
m Heating Permit
in a
(1+ Sewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
'
a SOUTH
I hereby c rtify infor tio submitted is correct and t re are n ther structures located on this property except i
as shown. L `
Owner or Agent ' �
j
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BE ORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE JBELOW,�THIIS LINE •
o,Your street address will be ��5r�j/1� / �`zEL'� L�/ ` 1�0� ,e zone is ,z��� X
Sewage Permit Number Issued Building Permit Receipt/p_____ Issued
Remarks /20_ r/ /
Form 523 Bldg. Code
, r 1 J
Carl Kappen & Associates, Inc.
E: 9212-Montgomery Suite 402 Requested Price q
. Spokane, .Wn. 99206 922-1690 Lot Cost 5 1
J PLOT PLAN
r ELEVATIONS:
Crown of Street 6.-' )
Finish Floor Fl. ,.
ri .F) . • 96'
le
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Address: '&. ld_b1 J Y_" _. a_1 7 f
Mortgage Co G�CLt`L _ pr y Q�"'` ! ' ��s i�.
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Power-�o:- ; ater Co. -
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lPTum6er - ;Excavator)
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