1977, 09-29 Permit App: M3525 Residence, Renewal of M1239 __-.�- -
C.snty of Spokane, Washington
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.
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.
d COUNTY ROADS. work on street right-of-way may not be performed until staked by County Road Department and work must l
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 Sta'e
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, NC Address E. 9212 Montgomery #402 Phone 922-1690
Architect Address Phone
Engineer Address Phone
Contractor Carl Kappen & Associates, Inc. Address F. 9712 Montgomery #402 Phone 922-1690
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 9. Bl k. 22 Early Dawn 2nd Addition 24 ,' -2 6 3-,-7,q _ 9 .)Jg
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone I Fire Zone 3
Size of Lot 135.00' x 80.00' Sewage System Septic Const..o Frameret
SE 24' x 36' Total Sq. Ft. 894 ,Valuation $33,950.00
Stories Dimensions
Rooms 5 Baths 1 Basement Full Foundation Const.. Concrete Chimney none Fireplace none
(Full. part, none) (Kind) (N mber
Heat. System /Elec. b�bdl.ype of Roofing Comp. Ext. Finish Wood Int. Wall Finish Gyp• Bd'
Use of Bldg. Single Family Dwelling - Unfinished basement No. of Units 1 Bedrooms 2
-r PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines aud streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH RESIDENTIAL—COMMERCIAL State License No.
Ind. Ins. Acct. No.
6
See Attached
REQUIRED
Plumbing Permit
m Heating Permit
m Xi
N N Sewage Permit
-t -1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify infor tion submitted is correc and th are no ther structures located on this property except
a}s�shown. 6„,7 x 0 ��j GL �� y //\ / / /
Owner or Agent V i9Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will beS'G,cl.�� /V-CThe zone is-4P-1- /•--""4'"
� �� ,$ � � -- �7 t-�'/�1(2R
Sewage Per t Number Issued Building Permit Receipt ,Issued
Remarks ( ��e.a� //� a 3 - t.� eia -
Form 523 Bldg. Code
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it: ,
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Kappen & Associates, Inc,
9212 Montgomery Suite 402 Requested Price 33i
' okane, Wn. 99206 922-1690 Lot Cost <� '
PLOT PLAN
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ELEVATIONS:
Crown of Street ?9--.
:2
�0� oQ i 91 Finish Floor ?6,..5
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Mortgage Co L // ' ��c�r ► `3G� j' ., t h` �� , 1 Sig ',y)
�wei^-Co__ ; afer Oo. cC
Aum6er ;Excavator
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