1978, 05-15 Permit App: M6452 Residence, Replaces M3299Job # 204
Rasessionaggsb-
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, 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 erect a building or structure of any
kind or alter any building or structure already erected, or to change a land use. Construction mast 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
rilame of Owner Haase Construction, Inc. Address N. 25 Mullan, Suite 304 Phone 928-1161
architect Address Phone
gineer Address Phone
contractor Haase Construction. Inc. Address N. 25 Mullan. Suite 304 phgna 928-1)61
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number ph"- drt 425WW — 02414 /
The E 75' of the N 150' of Block 157 of Orchard Avenue Addition
3q.S ROADWAY R/W WIDTH
DESCRIPTION OF WORK: New X Addition
75' x 150'
Size of Lot
Remodel
Stories SE Dimensions 32' x
Rooms 5 Baths Basement
Fu 1, part. none)
el ec. bbd Type of R
Single Famil
Heat. System
Use of Bldg.
Moving Bldg. Zone / Fire Zone 3
• Sewage System septi c onst. frame
(Fr., Conc24'15.1:g0.0
. l e/F..)D. D
Total Sq Ft 800 Valuation
y1�5
full
Foundation Const concrete Chimney none Fireplace none
,t (Kind) (Number
Com
oofing b. Ext. Finish giver -661T WOOdInt Wall Finish gyp. bd.
y Dwelling - unfinished basement No of Units Bedrooms 2
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.
SOUTH
cetI hereb c if ;format on s bmit ed i� correct a there are
// er or Agent
-I
y
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no ther structures
A LAND USE OR STRUCTURE PE IT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE BE • W THIS LINE
Your street address will be
Gc.Q-4
Sewage Permit Number Issued
Remarks
.2 7 -
Date
CONSTRUCTION COMMENCES.
located on this property except
S /CAP
Building Permit
The zone is
Receipt
�Y t`
*-
Form 523 Bldg. Code
ASO
®NSTRUCTIOftL
N. 25 MULLAN, SUITE 304?..".. INC
.SPOKANE, WASHINGTON 99205
1
N
I
1 -
Requested Price / 950
Lot Cost _'
PLOT PLAN
ELEVATIONS:
Crown of Street
Finish Floor �(7�
Basic:: 5q
In
FR ase ; J6
Mortgage Co. aeiIj C
Power*Co. Ilia
,un
Scale:
. Ft. The E 75' of Elle N 1507 of stock 157.
0 , Legal Orchard Avenue Addition
6- J0 Address: __ V'
1n1%�%Lorf abJrrn, ` �Gt�`�►
ter Co-- (il{1FIuIShQd bshIt
Plumber
-.w
3t
3 -