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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 d -V