1976, 02-25 Permit App: L2773 Residence Co ,nty of Spokane, Washik.Ston JOB #310
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
1 APPLICATION FOR LAND USE OR STRUCTURE PERMIT
1 it GENERAL REQUIREMENTS PERMIT FEE $48,00 r
1 1 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 strueture 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.
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 KAPPEN CONSTRUCTION, INC, Address n. 2312 Pines Road phone 928-8660
Architect Address Phone
Engineer Address Phone
Contractor KAPPFN CONSTRl1CTTON, INC. Address N_ 2312 Pines Road Phone 928-8660
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 10, Block 3, Rotchford Acre Tracts
-t.-e.e_e 74 '1s 4/3 -- ‘53 /47
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone
/FonsFti.re
oneze of Ldt 319.31 'x69.63'x256.52'x277.11 sewage system septicframetones 1 Dimensions 44'x26' 1848r., Con /.,, - d
Total Sq. Ft. Valuation '
Rooms 6 Baths 2 Basement 1/2 Foundation Const. rOnCrete Chimneybrick 1
(Full, part, none) Fireplace
(Kind) (Number
Heat. System F A F1 ert jype of Roofing Cha ke Ext. Finish wood Int. Wall Finish gyp. board
- Use of Bldg. Single Family Dwelling w/attached garage 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.
Ino. Ins. Acct. No.
REQUIRED
Plumbing Permit
1 m Heating Permit
N See Attached Plot Plan >ut Sewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there ars no otrer structures located on this property except
as shown.
aet-t--, ` �. X� P
�"� February 25, 1976
Owner or Agent Date f
LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. ci
THIS IS NOT A PERMIT.
iii `141/241M DO NOT WRITE BELOW THIS LINE
Tour street address will bell An-9/6 / !7 A-, � - ,
The zone is 4P-41.4i
Sewage Permit Number Issued Building Permitda Receipt( 1 Issued
Remarks
Form 523 Bldg. Code
KAPP�N CONSTRUCTION, INC. + '
Nath 2312 Pines Road Requested PriceS3'7 Q
Spokane, Washington 99216 Lot Cost ' '-
928-8660
PLOT PLAN
QELEVATIONS:
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FaA-base # ; Jo6 3 10 Address:
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Mortgage Co. G lrP�� �' „i/f • � 3 6 /`0 c)/r, c 7"
Power Co., : Water Co.
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