2003, 10-30 Permit: BLD-03-02953 Licensed Care HomeSpokane
4_, F Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
5.
305$BLAKE RD
CHANGE OF USE PERMIT
Permit #:
Applied:
SPOKANE WA 99216-0818 Issued:
LICENSED CARE HOME FOR CHILDREN AGES 6 TO 18 - (4) LEVEL I CLIENTS Expires:
MAXIMUM ALLOWED IS 6 CLIENTS
Lot: Blk:
PETERSON, MERRILL
BLD -03-02953
10/30/2003
10/30/2003
04/27/2004
Parcel No: 45154.1508 Zoning:
PETERSON, MERRILL Phone: (509) 928-7681
1405 E ROCKY TOP LN
SPOKANE VALLEY, WA 99206
Phone:
Lic No:
General Information:
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated.
Deposits/Receipts:
Total Due:
47.00
4.50
51.50
51.50
0.00
/0fre
Disclaimer:
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a dwelling, the dwelling is/will
be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The signatory is the property
owner or has permission to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of
Spokane Valley Development Code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) This City of
Spokane Valley Permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances.
Ownership of resulting development rights granted by any issued permit inure to the1 L5
erty owner.
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PrintnName
CAD
Staff Initials
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Signature
THIS IS NOT A RECEIPT
b/ )03
Date