2000, 06-13 Permit App: 00004923 Change of Use 5 �
Project Number: 00004923 Inv: 1 Applica4ion Date: 06/13/2000 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: CHANGE OF USE FROM RESIDENCE TO Contact: PETERSON,MERRILL
LICENSED CARE FACILITY Address: 017405 E ROCKYTOP LN
C-S-Z: SPOKANE,WA 99217
Setbacks:Front Left: Right: Rear: Phone: (509)383-3547
Group Name:
Project Name:
Site Information:
Plat Key: 003936 Name: ST MARY'S TERRACE ADDITION District: F
Parcel Number: 45232.0717 Block: Lot:
SiteAddress: 14523 E 6TH AVE Owner:Name: PETERSON,MERRILL
SPOKANE,WA USA 00000 Address: 017405 E ROCKYTOP LN
Location::SPO SPOKANE,WA 99217
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 9,987 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Department Review
BUILDING Plan Review By: —_-- (p
Hold Reasons:
Permit Conditions:
Building Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000)000-0000
000000,00 000000
Building Characteristics
Const Category: Change Of Use Group:LC-1 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
Item Description Units Unit Desc Fee Amount
CHANGE OF USE/SAFETY INSP 1 Y OR BLANK $50.00
STATE SURCHARGE 1 Y OR BLANK $4.50
Permit Total Fees: $54.50
c Y.
Project Number: 00004923 Inv: 1 Application Date: 06/13/2000 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Operator: RMB Printed By: RMB Print Date: 06/13/2000
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $54.50 $54.50 $0.00 $54.50
$54.50 $54.50 $0.00 $54.50
Notes: „ „, , , �ak op
LICENSED CARE FACILITY FOR 4 LEVEL I CLIENTS
" PLAN
APPROVED
MUST BE KPPT
, L... EMERGENCY EGRESS REOUIRMENTS
FROM SLEEPING ROOMS
ON JOB SITE, r- 1)NET CLEAR OPENING • 5 7 SOUARE FEET
2)NET CLEAR OPENING HEIGHT-24 INCHES
3)NET CLEAR OPENING WIDTH -20 INCHES
bE.(7. ki., 4)FINISHED SILL HEIGHT -44 INCHES ABOVE
FLOOR(MAX)
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