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2004, 01-26 Permit: BLD-04-03453 Change of UseSpokane 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: Description: Subdivision: Owner: Applicant: Address: Contractor: Address: CHANGE OF USE PERMIT 7918 E GLASS AVE SPOKANE WA 99212-1932 CONVERTING 1ST FLOOR TO ADULT FAMILY HOME - 3 BEDROOMS CLASSIFIED AS NS -2 WITH CLASS 1-12. BASEMENT FOR STORAGE ONLY ALLEN, RONALD J & SUSAN M Permit #: Applied: Issued: Expires: Lot: Blk: Parcel No: 45063.3211 ALLEN, RONALD J & SUSAN M Phone: 3511 N ELTON RD SPOKANE, WA 99212-1944 Phone: Lic No: BLD -04-03453 Zoning: 01/26/2004 01/26/2004 07/24/2004 General Information: USE CLASSIFICATION ADULT FAMILY HO Fees: BASIC PERMIT FEE WSBCC SURCHARGE Total Calculated: Deposits/Receipts: Total Due: 47.00 4.50 51.50 0.00 51.50 Conditions of 3 BEDROOMS ONLY PER L HALSEY 1-26-04 DD Approval: 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 issue, permit inure to the property owner. 6.460 n AI (ern 1 Print Name Signature Staff Initials THIS IS NOT A RECEIPT 1-2&-,61 Date