1977, 09-15 Permit App: M3299 Residencei
Cosnty 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
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.
ATER. 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 Haase Construction AddressF 9212 MontgOMPry,CuitP 601Phone 928-1161
Architect Address Phone
Engineer Address Phone
Contractor Carl Kappen & Assoc. , Inc. AddressE. 9212 Montgomery ,Suite 402Phone 922-1690
Legal Description of Property (Give complete description from deed. tax receipt etc.) Y1'�LL%. /aS 3/ -' 0244/
Ehe E 75' of the N 150' of Block 157Pof Orchard Avenue Addition
DESCRIPTION OF WORK: New X
Size of Lot 150' x 75'
Stories.Dimensions 24 x 32
Rooms 5 Baths 1 l, Basepart, mentnone) fu11
Ful
Bleat. system El ec. b/bdrype of Roofing C
IR%e of Bldg. Single Family Dwelling
Addition
Remodel
Moving Bldg. Zone
Sewage System Septic 1
Total Sq Ft 800 Valuation 331,950.00
Foundation Const concrete Chimney none Fireplace none
(Kind) (N4mber
Int Wall Finish 9YP• bG•
/ Fire Zone
Const _ Fra e
(Fr., Conc., r., et .
omp Ext. Finish wood
- Unfinished Basement
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.'
NORTH
No of Units 1 Bedrooms 2
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys,
RESIDENTIAL - COMMERCIAL
See Attached
SOUTH
w
D
ury
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify informmtion submitted is correct and there are no other structures located on this property except
as shown. -' r
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 B OW THIS LINE
Your street address will be 7/-2), jj,fAp�� The zone is f;
Sewage PermiScpumber II
0 Issued Building Permit ill 3 2.q7 Receipt
Remarks .C3,,...,.�.t7 .Q.Cc'c- /
¥%) -7 %
Form 523 Bldg. Code
arl Kappen & Associates, the.
" . 9212 Montgomery, Suite 402
Spokane, Wash. 99206 922-1690
PLOT PLAN
Requested Price � ! 41,S'a
Lot Cost
Basic:
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•
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tal
ELEVATIONS:
Crown of Street
Finish Floor1-,4Z.
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; Sq. Ft.
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xcavator
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Scale:
The E 75of the N 150' of Block 157
Orchard Avenue Addition
Address:
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