1977, 09-15 Permit App: M3301 ResidenceIC!nty of Spokane,-WasAkgton
BUILDING CODEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ------ $.24.DQ....._..
PEOMIT RRiIVIRED. A land use or struct are permit in required by County Res of at ion to erect a building or at ructure Of spy
kind or alter any building or structure already erected, or to change a land use. Construction must eoa[orm vlth the
Spokane County Building Code and Zoning Ordinance. Construction is subject to Inspection.
RATER. Rater supply most be approved by the County and State Health Departments.there work on voter connectiontllstprbI
the surface, shoulders pr tlitches of County Road.. permise ion must be obtained :role the County Engineer's Offfce. L
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nm. 45-133 and 47.235. w
SET -BACK FROM PROPERTY LINES. In most zones Bud under most circumstances, a set -back fr. the front property line, of at
least 25' is required, a 5' aide yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abut.. State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
COUNTY ROADS. Work on street right-of-vay may act be performed until staked by County Bond Department and work most be
performed in accordance with stakes. Points of ingress and egress mint 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 most be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory building. (garages, shed., etc.) require a separate permit.
RPSTRIC7IVE 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
Nameof Owner Haase Construction Addresf 0212 Mn tg a y-+ C -t ankh.,¢ WA -1161
Architect Address
Phone
Engineer Address Phone
Contractor Carl Kappen & AggOriata r Tnr. Addr...E o2t2 lAnntgormoru, S'Fite anpn a g22=1690
ILegal Description of Property (Give ..plate description from dead, tax receipt, etc.) �?n 5 ya- /'/ 3 9
DESCRIPTION OF WORK: New x AdditionRemodel Moving_ Bldg. Zone Fire Zone
size df Lot 79.79' x 72.87' x LOG' x 50.241 sewage system septic CConst. Frame
(Fr., Conc., etc.)
srorias SE Dimensi.s 24' x 32' Total Sq. Ft. 800 Valuation$31,950.00
Roans 5 Bath. 1 Basement full Foundation Const. concrete cnimney none Fire none
Fu h pert, noneT- (Kind) PIdCe(ryumber
Heat. System elec. b7bd Type of Roofing CanD. Ext. Finish wnnd Int. Wall Finish gyp hd
Use of Bldg. SinGle family dW lling - Lnfini had haspinent No. of Unit. L Bedroom. 2
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem sad water supply lines.
NORTH
PLOT PLAN
Property lines; (2) street or antl locations; (3) location of existing sort
lines and streets; (5) dime.. ions of buildings; (6) location of sewage syd-
RESIDENTIAL-COMAERCIAL State License No.
Ino. Ina.Acct. No.
SOUTH
REQUIRED
Plumbing Permit
Heating Perot _
s
N Sewage Permit _
Y
Plans Received _
Plans Checked _
Plans Returned _
Plans Picked Up -
Plans Malleri
I hereby certify InfOrmatl submitted 1s correct and there are no other structures located on this property except
is shorn.
Q
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 LINE
Tour street atire.a will be
Sewage PermiNluber1'he
Issued
Building Permit
zone is
Receipt `[;(
Remarks A �-r„ — —
form 523 Bldo. Cod.
Carl Kappen &'Associated, Inc.
1E. 9212 tgomery, Suite 402
Spoka ash. 99206 922-1690
--------- _-----------------
14t'f
Requested Price
Lot Cost
_PLOT PLA------------------------r-
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ELEVATIONS:
Crown of Street?7'
Finish Floor T
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bo
+5 {
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Scale:
�Cp-< Legal,Cy
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FRA "Case"R" =----';Jo6-8 -
.� Address:
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