1971, 09-24 Permit App: J0862 Residence Tab s,g,0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE37
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 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
Kappen Construction, Inc. Address 13524 E. Sprague Ave_ Phone WA4-0771
Name of Owner` pp
Architect Phone Engineer Phone
Contractor Kappen Construction, Inc. Address 13524 E. Sprague Ave. Phone WA4-0771
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Las . • - : :, • • ' %
Kokomo Townsite _ 4, I e• F) 6- - 1VtY-C'sS-`
DESCRIPTION OF WORK:NewX Addition model Moving Bldg.Zone / Fire Zone
Size of Lot 130' X 87.2' X 130' X 87.2' Sewage System septic tank Stories 1 1/2
const. frame Dimensions 60' X 25' Total Sq.Ft. 1900 valuation$25,6g0 00
(Frame,concrete,brick,etc.)
Rooms 7 Baths 2 Basement full Foundation Const. concrete Chimney Brick Fireplace 2
(Full, part, none) (Kind) (Number)
Heat. System P1 ectri C Type of Roofing comp. Ext. Finish WOOd Int. Wall Finish gyp- board
Use of Bldg. living residence No. of Units 1 Bedrooms 4
Garage or Carport Attached garage attached Private Detatched
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.
State License No.
NORTH /A/
IInd. Ins. Acct. No.
go/
‘ REQUIRED
e/ Mi Plumbing Permit
* R
m Heating Permit
m Vo
Na ^/ Sewage Permit
/
/S aRaqt 644/00-S b I2. ,4
Plans Received
AQi i 4/ ' Plans Checked
Plans Returned
as/ Plans Picked Up
I Plans Mailed
30th SOUTH
S7.a/
I he eby certify informat'on submitted is correct and there are no other structures located on this property except
as shown. /Y e-X d ,_
Owner or Agent Date
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 AM
/
Your street address will be 0 ' or
The zone i, --/%14.- -
Sewage Permit Number Issued Building Permit 0,, , ' Receipt _54_e Issumo
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0
Remarks '
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Form 523 Bldg. Code 7