1977, 09-15 Permit App: M3300 Residencer
Cta my of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
• APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
PERMIT FEE $24:00'D
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of
kind or alter any building or structure already erected, or to change a land use. Construction must conform with th
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 disturb
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 1s 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 Haase Construction Address E. 9212 Montgomery Suite 6®done 998-1161
Architect Address Phone
Engineer Address 9�� ' Phone
Contractor Carl Kappen & Assoc - Tnr Address E 9212 Montgomery, Suite 48gte 922 1690
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Pin /625Sl --?'1ni
The W 75' of the E 150' of the N 150' of Block 157 of Orchard Ave. Addition
DESCRIPTION OF WORK: New X
Size of Lot 150' x 75'
Addition
Remodel
Stories SE Dimensions 32 X 24
Rooms _5__ Baths _Li_ Basement 81l 1
Full, part, none)
Heat. Systemelec b/bd Type of Roofing COmD.
Use of Bldg. Single Family Dwelling - unfinished basement
Moving Bldg. Zone / Fire Zone
Sewage System SeDtiC ConatFrame
(Fr., Conc. Br., etc.
Total Sq Ft 800 Valuation $31,95u
Foundation Const. Concrete Chimney
(Kind)
Oe Fireplace none
(Number
Ext: Finish wood Int Wall Finish qvp. bd.
No of Units 1 Bedrooms 2
PLOT PLAN
a
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
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
w, Heating Permit
NSewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
1
t
I hereby certify information submitted is correct and there are no other structures located on this property exc 'pt
as shown.
Owner or Agentt
<'77
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMME
THIS 1S NOT A PERMIT.
DO NOT OW THIS LINE
Your street address will be
Sewage Fp Number
Remarks"
ES.
0 The zone is
Receipt
Issued
Lt -
Building Permit
Form 523 Bldg. Code
9:M1
`".Carl`Kappen & Associates,Lc,
9212::Montgomery, Suite 402 }
Spokane, Wash. 99206 922-1690
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PLOT PLAN
FA R u l ew 7 Ave,
Requested Price 31,95-0
Lot Cost
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Scale:
1 The W 75' of the E 150' of the A 150'
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