1977, 09-30 Permit App: M3535 ResidenceC my of Spokane, was gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE $36.00
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
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 — #402Phone 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,=pt, receipt, etc.)
Lot 9, Blk. 23 Early Dawn 2nd Addition
DESCRIPTION OF WORK: New x Addition Remodel
127.00'x 105.00' x 107.00' x 85.00'
Dimensions 26' x 38' x 22' x 14'
7 Baths (F Il Basement Full Foundation Const
part, none)
Elec. B/bdType of Roofing Comp. Ext. Finish Wood
Single Family Dwelling — Unfinished basement
Size of Lot
Stories 1
Rooms
Moving Bldg. Zone
Heat. System
Use of Bldg.
/ Fire Zone 3
Const. Frame
(Fr., Conc., Br., etc.)
1296 Valuation $38,950.00
Sewage System Septic
Concrete
Total Sq. Ft
Chimney none Fireplace none
(Kind) (Number
Int. Wall Finish Gyp• Bd•
No. of Unitsl 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
Soo Attached
I hereby, certify info
as shown.
Owner or
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
n+ Heating Permit
Sewage Permit
-1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
do submitted is corr ct and tt e are no other structures located on this property except
Date
FORE CONSTRUCTION COMMENCES.
Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES B
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued Building Permit �/I Receipt() f 7 L. -
Remarks
Remarks,li 3 /IIY—It'
The zone is
Issued
--e/3-es--c_i_e_) •--6
Form 523 Bldg. Code
ipp
'Carl Rappen & Associates, I
.E. 9212 M3ntgomery Suite 402
Spokane, Wn. 99206 922-1690
PLOT PLAN
�'
Requested Price .� . qs jv
Lot Cost
/61.1
grr
ELEVATIONS:
Crown of Street i 9.
Finish Floor /P.760
a
Basic• :Sq. Ft
FAA -Case -#-------1 36 6 W a
Scale:) -P
Legal ZO f (L,110,412:%)./t:7,(.4. _ rysLSi
Address: ) 9-/
Mortgage Co
Power_CO___
PTum6er
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:Excavator
r;Excavator
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