2004, 08-18 Permit: BLD-04-07405 Change of Use000111111101�
Spokane
,,;oOValley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
CHANGE OF USE PERMIT
Permit #: BLD -04-07405
Job Address:
1307 S CENTER RD
Applied:
08/18/2004
SPOKANE VALLEY WA 99212
Issued:
08/18/2004
Description:
CHANGE OF USE FROM RESIDENCE TO ADULT
FAMILY HOME - 6 CLIENTS Expires:
02/14/2005
(LEVELS I, II & III)
Subdivision:
Lot:
Blk: Parcel No: Zoning:
Owner:
LOGSDON, TOM & ANNA
Applicant:
LOGSDON, TOM & ANNA
Phone: (509) 228-0479
Address:
10511 E 8TH AVE
SPOKANE, WA 99206
Contractor:
Phone:
Address:
Lic No:
General Information:
Fees:
USE CLASSIFICATION LICENSED CARE
BASIC PERMIT FEE
47.00
WSBCC SURCHARGE
4.50
Total Calculated:
51.50
Deposits/Receipts:
51.50
Total Due:
0.00
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 iT)A
the property owner.
oz L
Print Name Signature Dat
Staff Initials
THIS IS NOT A RECEIPT