2010, 01-28 Permit Application: 10000199 ApproachS "04 .#4 *%
kane
■•0°Valley
Development Engineering
11707 E Sprague Ave Suite 106 • Spokane Valley WA 99206
509.921.1000 • Fax: 509.921.1008 • cityhall@spokanevalley.org
Approach Permit Application Review
TO: Building Department
Site Address: 11620 E. Alki Avenue
Project No: 10 -0199
Accepted
Not Accepted
Approach
Building Location
Paved Access
X
Notes: Saw cutting of existing curb is not allowed within the City's
jurisdiction. Driveway is to be inspected by the City's ROW Inspector prior
to concrete placement.
The approach as shown is accepted contingent on issuance of a building
permit.
Reviewed By: A(2/(/(---
R : y
Date: /— 2����
Spokane
Valley
Community Development
Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
permitcenter@spokanevalley.org
Approach Permit Application
PERMIT NUMBER:
PERMIT FEE:
PROJECT ADDRESS 4
\ (oi
START DATE �''" ��
ANTIQPATED COMPLETION DATE L
Building Owner. ,j
Name: C C.C'('�SLIC'1�o.�
Address: cC� ‘A (�
City: ('E -, .F■NAS —
State:
Phone: r] c cs) i —fv62� Fax:
Contact Person
Contractor.
Name: vv 1
Zip: L jl
Name:
Phone:
506) `VA..-W4
PROJECT DESCRIPTION (Provide site sketch)
Residential Driveway
Existing Curb & Gutter
Culvert Installation
Other Conditions
Address:
amity:
State: Zip:
Phone: Fax:
Contractor Lic okfiE l C o tri 7 Z- Zok
City Business Lic. No: �'EL,
Commercial/Industrial Driveway
Rural Road Section
Sidewalk Repair /Construction
Bond/Insurance certification must be on file with the city.
DISCLAIMER
The permittee verifies, acknowledges and agrees by their signatures 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. 6) Plans or additional information may be required to be submitted, and subsequently approved before this
application can be processed.
Signatureo
/(c
iethod ofPayment.
❑ Cash ❑ Check
Bankcard # :
Authorized Signature:
REVISED 319/08
❑ Mastercard
Expires:
Date '
❑ VISA
VIN #: s c i " i ,',
CSV PERMIT CENTER
JAN 2 tj 20iO_
r'oje�tt `
4111:ri...
Submittu!:_.-