1979, 06-27 Permit App: N3887 Residence Coun;-' of Spokane. Washinr-`ln
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
Job # 304 APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTSPERMIT FEE $62 .00
PEWIT 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. Con-
struction must have inspections.
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 is required. See current
Spokane County Zoning Ordinance for all required set-backs.
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 building(garages,sheds,etc.)require a separate permit.
RESA'RICFIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land which are enforceable
th gh civil action.County Officials can not bring action to enforce covenants or dedications.
1 APPLICANT FILL IN BELOW THIS LINE
Name of Owner_Haase Construction, Inc. Address N. 2602 Sullivan, 99216 _ Phone 928-1161
Architect . _ Address Phone
Engineer_ Address Phone _
contractor Haase Construction, Inc. Address N. 2602 Sullivan, 99216 Phone 928-1161
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number r2 q 5 ~i - / 3 y
- /
Lot 4, Block 1, Wallace Addition
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
75' x130'
Size of Lot Sewage System septic onst. frame
SE 36' x 24' 14' x 24' X 5' x 8' 1240 VFr., cone, 4r., etc.)5
x
Stories_. Dimensions . Total Sq- Ft. Valuation 47,950.00
Rooms 5 Baths 1 Basement ful 1 Foundation Const._ concrete Chimney nOCIP Fireplace none
(Full, part, none) (Kind) (Number
Heat.,System elec. b/bd.Type of Roofing comp. Ext. Finish wood Int. Wall Finish gyp. bd.
Use of Bldg. single family dwelling, garage attached, deck attacheatlo. of Unitsl Bedrooms 2
ROADWAY R/W WIDTH 50'
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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-
te; and water supply lines.
NORTH State License No.
, a Loo 3�s 41q
. / Ino. Ins. Acct. No.
i
RESIDENTIAL - OMMERCIAL
See Attached
D
Plumbing Permit
m Heating Permit
"' D
Nti1Sewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
I Plans Mailed
SOUTH 9
I h eby cert. y in ..,.,iati ubmitted is correct and there are no other structures located n this property except(
1 as sho . 41111 �1�J
l:/ 171 / i
Owner or Agent - Dat
A LAND USE O' STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE C NSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. PERMITS ARE NON-REFUNDABLE AND NON-TRANSFERABLE
DO NOT WRITE BELOW THIS LINE', ` ) /-)
Your street address will be ,(' 0 7 f i 4 �� ,,,
_'he zone is AAA-3
Sewage Permit Number -- Issued _ Building Permit Receipt, �_S_Issued
Remarks
tor, 523 Bldg. Code
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C0NSTIW1IO1ILNo h' 5.3t?. INC
Spokane, Woo PLOT PLAN
• is, 0 ELEVATIONS:
Crown of Street . /.
Finish Floor
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FHA Case # i I Job I Address:
Mortgage Co. ,Spoitan filtehatif4 oil .hd1-m, I JATit, min•fi& dies/ ,64/17-'f
Power Co. ,p W ter Co. v U s J. �.e, �r rQ
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Plumber 1 Excav for