1971, 09-24 Permit App: J0864 Residence •
4
County of Spokane, Washington SO b
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE,WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEEr `fi>"
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
Name of Owner Kappen Construction, Inc. Address 13524 F. Sprague_ Ave_ Phone WA4-0771
Architect Phone Engineer Phone
Contractor Kappen Construction, Inc. Address 13524 E. Sprague, AVP_ Phone WA4-0771
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
East 21 -6' of Lot 21 , all of 22, -a-nd the West 14.6' of Lot 23, Block 23
Kokomo Towns i to .2,0 s9__A —,y S0.3
DESCRIPTION OF WORK:New Xi '
.Add tion Remodel Moving Bldg.Zone / Fire Zone
Size of Lot 130' X 87_2' X 130' X R7.2' Sewage System CPpt i f tank Stories 1
Const. frame Dimensions 62' X 26' Total Sq. Ft. /S7NRluation $23,c60 00
(Frame,concrete,brick,etc.))
Rooms 6 Baths�2Basement full Foundation Const. concrete Chimney Brick Fireplace ___2____
(Full, part, none) (Kind) (Number)
Heat. System el ectri C Type of Roofing comp. Ext. Finish wood Int.Wall Finish gyp. board
Use of Bldg. living residence No. of Units 1 Bedrooms 3
Garage or Carport Attached attached garage
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 g2.2/
Ind. Ins. Acct. No.
79/ REQUIRED
Alzo
/ 1) Plumbing Permit
` In Heating Permit
en
N in
Sewage Permit
/g/ 4 8-409,2-,P gfRAge _....7,)'__
Plans Received
�1
— SCJ,/' • Plans Checked
IPlans Returned
s Plans Picked Up
Plans Mailed
Oil" SOUTH
g�'a '
I hereby certify informatiosubmitted is correct and there are no other structures located on this property except
.�i/
as shownle4.4 n 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 NOT WRITE BELOW THIS LIME i
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Your street address will be 0/4O__ �' A ,e zone i .'/no,- . r.i
v . Ade
Sewage Permit Number 1 + ,
Issued Building Permit Receipt a ofIss ••-*.or/ /
Remarks
7l LO
Form 523 Bldg. Code