2003, 09-30 Permit: BLD-03-02627 Change of Usee
_Malley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
CHANGE OF USE PERMIT
Job Address: 312 N PROGRESS RD
VERADALE WA 99037-9508
Description: CHANGE OF USE - ADULT FAMILY HOME - 6 CLIENTS, LEVELS I THRU III
TAWNY CHURCHILL IS PROVIDER
Subdivision:
Owner:
Applicant:
Address:
Lot: Blk:
CHURCHILL, JOHN F & GLORIA J
CHURCHILL, JOHN F & GLORIA J Phone:
312 N PROGRESS RD
VERADALE, WA 99037-9508
Contractor: Phone:
Address: Lic No:
Permit #: BLD -03-02627
Applied: 09/30/2003
Issued: 09/30/2003
Expires: 03/28/2004
Parcel No: 45144.1315
45144.1326
Zoning:
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
51.50
0.00
Conditions of MUST MEET ALL REQUIREMENTS OF FIELD INSPECTION
Approval:
Disclaimer:
The permitee verifies, acknowledges and agrees by their signature that: 1) If t
be served by potable water. 2) Ownership of this City of Spokane Valley
owner or has permission to represent the property owner in this transacti
Spokane Valley Development Code. Referenced codes are avail
Spokane Valley Permit is not a permit or approval for a
nership • res'Iting development rights granted
J4 Li TW_J-it
rmit i
. 4) All
review at t
I, state
rmit is for construction of or on a dwelling, the dwelling is/will
re to the property owner. 3) The signatory is the property
nstruction is to be done in full compliance with the City of
e City of $rpoka - Valley Permit Center. 5) This City of
I laws, es • r on ' - ces.
t Name ' ignature
Staff Initials
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