2001, 10-11 Permit App: 01008968 Change of Use Project Number: 01008968 Inv: 1 Application Date: 10/11/2001 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: HARRIS,ANGEL LEE
LICENSED CARE FACILITY Address: 12721 E 12TH AVE
C - S -Z: SPOKANE,WA 99216
Setbacks: Front Left: Right: Rear: Phone: (509)891-2492
Group Name:
Site Information: Project Name:
Plat Key: 002962 Name: WOODWARD PARK ADD District: F
Parcel Number: 45223.0722 Block: Lot:
SiteAddress: 12721 E 12TH AVE Owner:Name: HARRIS,ANGEL LEE
SPOKANE,WA 99216 Address: 12721 E 12TH AVE
Location::SPO SPOKANE,WA 99216
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 143 Depth: 155 Right Of Way(ft): 50
Nbr of Bldgs: 2 Nbr of Dwellings: 1
eview In orm
ation: :.
f
Review
Plan ReviewReleased Br r r'� ! fd T.
I
ermits: .
P
Building Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000)000-0000
000000,00 000000
Building Characteristics
Const Category: Change Of Use Group: LC_2 Type:
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
Operator: RMB Printed By: RMB Print Date: 10/11/2001
Project Number: 01008968 Inv: 1 Application Date: 10/11/2001 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Note
PaymentS
Summary:rV'
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
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be contrued to be a permit for,or an approval of,any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: RMB Printed By: RMB Print Date: 10/11/2001
(1._ i �..' ( ' //V
545' ♦ l
Basement -
0
,n 140'
Recreation Room
Storage b Shop
..
0 0
N ,
Mechanical Room
Bedroom Bath 1 2
0
0 41.0'
27-5' `N
54 5' Patio
Main Floor
- 3 23C
Bedroom Bedroom - _:—
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C - J - _ -
�-v i- Garage
m . eLicn) Bath +rl i ,,. Laundry -
a�co D��ing , ro
iI`- - Kitchen
�„ Bedroom t `r� s'; 1/2 Bath 5 0' 03
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27.5' ticti\Ai �Ci(2P`-k.cry
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EMERGENCY EGRESS REOUIRMENTS
n FROM SLEEPING ROOMS
(c, ` LI:e- }C ,9 Leq eL IV CLQ L S 2i NET CLEAR OPENING HEIGHT-24R OPENING - �INCHES
E FEET
j C (r- c,(2._. ► t ctE�- 41 FINISHED SILNET CLEAR L HEIGHT ENING WIDTH :40 INCHES ABOVE
FLOOR(MAX)
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CBY BEEN REVIEWED
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