1976, 08-19 Permit App: L5148 Residence- j — -
County of Spokane, Washngton 41'11 . '' '
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE $44.00 i ?
t PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
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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.
V 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.
I.
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 KAPPEN CONSTR., INC. Address N. 2312 Pines Road Phone 928-8660
Architect Address Phone
Engineer Address Phone
Contractor K PPFN CONSTR., INC_ Address N. 2312 Pines Road �/9c / ' Phone 928-8660
egal escription of P c e complete iiegcription from eed, tax receipt, et )
441 K , , /d-1�kkJ/ 8 MME "Ma
s
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2 "313 -0217
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone / Fire2one -1
Size of Lot 150'x300' septic r� frame
Sewage System y'onst.
(Fr., Conc., Br., etc.)
Stories 1 Dimensions 26'x42'0141241)„____ Total Sq. Ft. 1668 Valuation
Rooms 6 Baths 1 Basement full Foundation Const. concrete Chimney brick Fireplace bri Ck :'(Full, part, none) (Kind) ( umber
Heat. System electric Type of Roofing shake Ext. Finish wood Int. Wall Finisr gyp' bci'
Use of Bldg. Si nql e family dwelling - 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.
o K o,r/ 'i,L t
Ind. Ins. Acct. No.
See attached plot plan
6 9 .4-1-/-34
_ REQUIRED
F� y, Plumbing Permit
(�C X�[,{ mHeating Permit
m
to N Sewage Permit
—i AO 6 61 "al - I, .
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I herebyertify infor tion ubmitted is correct and there are no other structures located on this property except
as shown. �� -(t-1c�
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
I r, (,,
- , , ,f • , DO NOT WRITE BELOW THIS LINE
t Your street address will be /�� t.Z/J E / ' (tz_ The zone ii - `uJLtL -J_
Sewage Permit Number Issued Building Permits &4Receipt Zb G S Issued
Remarks
Form 523 Bldg. Code
ruT17 LJ1L r Requested Price
Spokane, Washington 99216 Lot Cost
928-8660
PLOT PLAN
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ELEVATIONS:
Crown of Street
Finish Floor
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150'
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