2004, 08-23 Permit: BLD-04-07418 Change of Use Spokane
do,0I" Walley CHANGE OF USE PERMIT
11707 E.Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-07418
Job Address: 1701 S SEEHORN RD Applied: 08/23/2004
SPOKANE VALLEY WA 99212 Issued: 08/23/2004
Description: CHANGE OF USE TO ADULT FAMILY HOME-(4)CLIENTS, LEVELS I& II Expires: 02/19/2005
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: MANINA, SCOTT
Applicant: CAMPBELL, ERIN Phone: (509)534-0844
Address: 1701 S SEEHORN RD
SPOKANE VALLEY,WA 99212
Contractor: Phone:
Address: Lic No:
General Information: Fees:
USE CLASSIFICATION LLC BASIC PERMIT FEE 47.00
WSBCC SURCHARGE 4.50
Total Calculated: 51.50
Deposits/Receipts: 51.50
Total Due: 0.00
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 issued rmit inure to the proppa{ty owner.
Erin (apei/ (k;' (I/ l /l. i
Print Name Signature D.
Staff Initials
THIS IS NOT A RECEIPT