1977, 09-20 Permit App: M3442 ResidenceCE anty of Spokane, Wasti.ngton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE .--`•0------------
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.
NATER. 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 enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner Address F _ 9212 Mnntan� mery #601 Phone 928-1161
Architect Address Phone
Engineer Address Phone
Contractor Carl Kappen & Associates, Inc. Address E. 9212 Montgomery, #402 Phone 922-1690
Legal Description of Property (Give pgomplete description from deed, tax receipt, etc.),
Lot 7, Block 6. Mi d1l ome Addition .3 -:� - Z 3 -
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone Fire Zone_
Size of Lot 135.00' X 900.00' Sewage System Sewer �F'ns . Framee.
Stories $e Dimensions 24' X 40' X 22' X 241 Total Sq. Ft. 9�— Valuation 39tc
95b. 00
Rooms 5 Baths 1 Basement Ful 1 Foundation Const.. Concrete Cy none Fireplace none
Fu I, part, novel— -none (Kind) (Number
Heat. System Elec. b1hdpe of Roofing COMP Ext. Finish Wood Int. Wall Finish Gyp. bd.
Use of Bldg. Single Family Dwelling-Unfipished Basement No. of Units 1. Bedrooms 2
rz cue C
PLOT PLAN « a2
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
See Attached
N
-4
I hereby cert;�ify information
as shown. / ,�^
4� LAND USE OR STvRUI
THIS IS NOT A PERMIT.
SOU TH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
n� Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
tted is correct and ther -are no other structures located on this property except
-2
or Agent Date
"'TORE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
Your street address will be
Sewage Permit Number
Remarks
Form 523 Bldg. Code
DO NOT WRITE BELOW THIS LINE
The zone
Issued Building Permit/U--
Receipt LQ Isaued
Carl Kappen & Associates, Inc.
E. 9212 Montgomery, Suite 402
Spokane, Was". -'99206 922-1690
Requested Price 31, gSo
Lot Cost J", '* or ss
a
---------------------------------------- PLOT -PLAN -----------------
n ELEVATIONS:
`2
C7own of Street
Finish
Floor ria
►' �— �.% ,—-------------------------
Aas-Tc---------------,-sq. Ft.__' -------;------------------------------------------Scale_/ -
Lf4 - < ', ; � ; Legal 1 �
FAA-�alseJ --- -----� - ---- -------c-------- -- t -----� _---`-�-- y'--=��� --�= �---------
Job r Address : y , - _�._ _.:_
----------------------------- _ _ __�_l _!J_�te1_
Mortgage Co. - -r- ---- ------------------,�--
----- tt Y(41Aj stied h��rf
Power Oo. ;pater �o. � +�
P umber----------- L---- ----
Excavator
-----------------------------------!-----------------------------------------------------------