1999, 11-30 Permit App: 99011482 Change of UseProject Number 549011182 Inv: 1 Application Date: 11/30/19 Page 1 of'2
l THIS IS NOTA PERMIT
222 Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: CHANGE OF USE - RESIDENCE TO ADULT
FAMILY HOME
Site Information:
Setbacks: Front Lett: Right: Rear:
Contact: CAMPBELL, KELLY & SABR
Address: 1911 S MCDONALD RD
C - S - Z SPOKANE, WA 99216
Phone (509) 922-4646
Plat Key: 001844 Name: OPPORTUNI'T'Y TERRACE 3RD A
District: F
Parcel Number: 45271.2027
SiteAddress: 1911 S MCDONALD RD
SPOKANE, WA 99216
Location:: SPO
Zoning: UNK
Water District:
Area: 21,760 Sq Ft
Nbr of Bldgs: 0
Owner: Name: CAMPBELL, KELLY & SABRI
Address: 1911 S MCDONALD RD
SPOKANE, WA 99216
Hold: ❑
Width: 136 Depth: 160 Right Of Way (ft): 0
Nbr of Dwellings: 1
Review Information:
Department
BUILDING
Comments:
Review
Plan Review
Permits.
Building Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000) 000-0000
000000, 00 000000
Building Characteristics
Const Category: Change Of Use
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: 0
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Tvpe Notes So Ft Valuation Sq Ft Valuation
RESIDENCE LC VN ADULTI-IO 0 $1.00 0 $1.00
ME
Item Description
CHANGE OF USE/SAFETY INSP
STATE SURCHARGE
Totals: 0 $1.00 0 $1.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
Fee Amount
$50.00
$4.50
Permit Total Fees: $54.50
Project Number: 99011482 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/30/19„ Page 2 of 2
Payment Summary:
Operator: DMD
Permit Type
Building Permit
Printed By: DMD
Print Date: 11/30/1999
Fee Amount Invoice Amount
$54.50 $54.50
Amount Paid
$0.00
Amount Owing
$54.50
$54.50 $54.50 $0.00 $54.50
Notes: c,.,
STOPWORK ORDER PLACED BY b. STONE AT 1 55 P.M. 5/13/99. No permit for reroof
Investigation fee required Fmh
LICENSED EORX LEVEL I, II, & III CLIENTS
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