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1996, 05-24 Permit App: 96003732 Change of Use
APPLICATION INFORMATION \What is the JOB SITE address? ASSESSOR'S tax parcel number? 1 '5 IC) 7' C-0 \ \ , Y. ' lZIOL--- Legal description as it appears on the property deed OWNER or OCCUPANT Phone 'Dc x- c— A --s-x--<:,,..,..1-,Y-N. S2\ — (01053 Mailing address City, state Zip 1S C__)-1 S Co \ \ ‘ r- RCL_ Spok_GX-Ne, \ *27 ca_ CkCarl o Who should we contact regarding this project? Phone ) --pc:L-1-\ c� �. r \ c rim '' c» 1-\_ at2V - (04;,c-)--). What work is being done under this permit? / ACLLIA t. 1-cem k \ y \-\o \-E Lone .> If$pector..;ftlstrict Property size Right of way width Water district Building Building height # of stories Contractor Dimensions TOTAL SQUARE FOOTAGE WA State Contractor license # Main floor area Unfinished basement area Mailing address - — ---- %1 J -j" ^ , I C _ ANI �"7 LNY ` c r -T T --17--E -2ndiloor area -Finished basement area Architect/Engineer `-3O' f Q rea Size of decks, etc. What is the heat sot �Oy + the cost of your project? Manufacture .� l t_ __-.__ C-1 `�-. Width: t the square footage of n face? Ili ia' How high is the sign? Year: — F (,v/ itLi--lnil 4 -04 -0R - MCC -T1 s'E Si'f rte- Lc r©I'C_. Com( tay-lam 1-- t TYi L GL( -c 3 %Z N Lc c 2 C/1/4 -)Cy -_, z,£ _ s 71 ONS Z‘ -t - 1 ,j r. rtv,s*. Installer --4:P--/ (E-... J actor Wa State Contrac L' Al r -34-c) tate Contractor license # _ Mailing address /1 A -A 0 N M Al ng address Relocatior Zc_v '- e Safety Previous address Y G c_l e (? Fire Sprinkler Tent Paint booth Fire Alarm Fireworks display 1 Tu_ / _ --,0,2--- LUE Contractor ntractor WA State Contr.0.,eA Q(......--G.-----o State Contractor license # Mailing address 6�,�_ ailing address Fuel Storage' Tanks Swimming Pool (Circle one) Above -ground Underground Size / gallons Private Contents of tank(s) Size / gallons Public/semi-private Contractor Contractor Wa State Contractor license # WA State Contractor license # Mailing address Mailing address COMPLETE ALL APPLICABLE INFORMATION Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities. Plea3(g� o = s c� n.1-1E- t7/4 E C/1 o 7Hi� f1 Site Plan Qum' PP ar ning Raviinwer sr &/' C£ H aIr 5 &Y\/1 ..L;n Bos C'? h%r INCLUDE THE FOLLOWING: ❑ All roadways, driveways & easments ❑ Distances from center of roads, right of ways, private roads & property lines 0 All existing & proposed buildings ❑ Underground utilities ❑ North arrow ❑ Septic tanks & wells DATE .A pr\ 1 1, 1C.11v Washe ron StateDEPARTMENT OF SERVICES LTH AGING AND ADULT SERVICESADMINISTRATION FIRE SAFETY EVACUATION PLAN WAC 388-76-200(11) An Adult Family Home shall have a posted plan for evacuation to safe areas in event of fire. Draw a diagram of the floor plan cf your home in the space proveded below. Indicate escape routes and designate where staff and residents should meet outside the residence. Indicate the location of fire extinguisher(s) and smoke detector(s). INSTRUCTIONS: Provider/Resident Manager completes and posts in a conspicuous location. Go%1 %.1- i?c1 4 Gv I ®'Al -( G�. o clt Yo r-c:L. T 1- G` a� mak. --1- S\ ‘ der Steps Coo cD j t Cv-o-r t. oc 'c- r - @ - 4o2r LC C- LI -til l S (o MAYA V‘ -k Lk 1K-1 CL \)ELS i -,a DSHS 21-054 (REV. 05193) rI� C. JL.�t 1SHC 2 C‘C_r EMERGENCY EGRESS REOUIRMENTS FROM SLEPING ROOMS 1 i NET CLEAR OPENING - 5.7 SQUARE FEET 21 NET CLEAR OPENING HEIGHT- 24 INCHES 31 NET CLEAR OPENING WIDTH - 20 INCHES 41 FINISHED SILL HEIGHT - 44 INCHES ABOVE FLOOR (MAXI M . Pb -Pt -TV Cab -v .e2c-