1977, 09-29 Permit App: M3537 Residence, Renewal of M1735 __ _
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Cuinty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE $32.00
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.
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 Sate
Highway, clearance must be obtained from the County Engineer and/or State Highway Department. I
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, IfCAddress E. 9212 Montgomery - #402 Phone 922-1690
Architect Address Phone
Engineer Address Phone
Contractor Carl Kappen & Associates, Inc. Address E. 9212 Mont-gm-Fry - #402 Phone A22-1690
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 5, Blk. 23 Early Dawn 2nd. Additionb c.2-(n S- 11 7- _. `i10 1 f
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot 127.02' X95.00' x127.11' X 95.00' Sewage System Septic Const. Frame
(Fr
Con
Br.
Stories 1 Dimensions 24' x 40' Total Sq. Ft. 1042 Valuationl, 35 95etc.►
$35,950.00
Rooms 7 Baths1 Basement Full Foundation Const. Concrete Chimney none Fireplace none
Full, part, none) (Kind) (Number
Heat. System Elec. B/Bdrype of Roofing Com. Ext. Finish Wood Int. Wall Finish 'y° • Bd.
Use of Bldg. Single Family Dwelling - Unfinished basement No. of Units 1 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.
Ind. Ins. Acct. No.
See Attached
REQUIRED
Plumbing Permit
m Heating Permit
rna
t^ ut Sewage Permit
-I -I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I here y certify i formation submitted is correct nd there a e no other structures located on this property except
as shown. p al mer or t -"
Date ( ��
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMIS BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE ,
Your street address will be G4—a..." / a2 (/ — "fiaa zone is o— ir41
Sewage Permit Number
Issued Building Permit i Receipt _ 'sued
Remarks
Ell
Form 523 Bldg. Code
1
C rl Kappen & Associates, I17:
9212 Montgomery Suite 402 Requested Price ..'. -1). . ---0.,
Lot Cost
pokane, Wn. 99206 922-1690 r,,,
PLOT PLAN
ELEVATIONS:
Crown of Street P. --
Finish Floor EL-11,___
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