1971, 09-24 Permit App: J0863 Residence Washington County of Spokane, Tab ••1
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE_._,&
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erecta 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
Name of Owner Kappen Construction, Inc. Address 13524 E. Sprague Ave, Phone WA4-0771
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.)
East 43' of Lot 18 The W- AA ' , 9 I i 6 , A L9 . 9110
2 l = - - --49_
DESCRIPTION OF WORK:New X %/Rion Remodel Moving Bldg.Zone / Fire Zone s
Size of Lot 1 ' . : ' ' . : p Stories
� Sewage System septic C tank
Const. frame Dimensions 62' X 26' Total Sq.Ft. -a-Fd3aluation 23,950.00
(Frame,concrete,brick,etc.) /47Z
Rooms 6 Baths 1 1/2Basement full Foundation Const. concrete Chimney Brick Fireplace 2
(Full, part, none) (Kind) (Number)
Heat. System electric Type of Roofing comp. Ext. Finish wood Int.Wall Finish gyp. board
Use of Bldg. living residence No. of Units_L_Bedrooms 3
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 o
Ind. Ins. Acct. No.
6 / REQUIRED
N
• Plumbing Permit
{ , `in Heating Permit
is, B-IbQ2 ' IG ` 7..2 Pim Sewage Permit
p
n I Plans Received
I __
Plans Checked
Plans Returned
Plans Picked Up
3s Plans Mailed
SOUTH g2,,P '
3I reby certify inf�mat'.n submitted is correct and there are no other structures located on this property except
as shown. c �,_9___V___—__2(Owner
V_2(Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NO TE BELOW THIS LINE ,
Your street address will be // 01• Y _ . 90 a zone a % ._' ��//,
Sewage Permit Number Issued Building Permit i _ Receipt M / Iss . / ll
iu
Remarks �'
Form 523 Bldg. Code