2008, 08-19 Permit App: 08003239 ApproachSpokane
',00Ualley
Community Development
Permit Center RECEIVED BY
11703 E Sprague Am--Pp:i e BP3DKANE VALLEY
Spokane Valley, WA 99206
(509)688-0036 FAX: (5094a0037 2006
www. spokaneval ley.or¢ /
PERMIT CENTER
Approach Permit Applicatio
PERMIT NUMBER: F _3W
PERMIT FEE: T -6 --
PROJECT ADDRESS 2 808 S• 3'4 - PA S po Vi- t 1 a 11 e y, u)q R 9 2 o c,
START DATE '8'Z I -0'3 ANTICIPATED COMPLETION DATE € - Z b -
Building Owner:
Contractor. 700 to P°,1 ciagt fro
Name: ,%nuw
nviti/v,7
Address: agog s /3.4rts /el
Name:
State: 4,./4_ Zip: 19206
City: <,,,/ 14 -.co ✓-f-/r'P�
Phone:'Gyp 92'779az_ Fax:
Contact Person
Name: .G o aJ 4t-I2r-p-K
Phone: 2 -7 7,702_
PROJECT DESCRIPTION (Provide site sketch)
Residential Driveway
l'xisting Curb Gutter
Culvert Installation
Other Conditions
Address: /74//7E ,SEA,
City: 1474,7 State: Lift Zip: 9o/%
Phone: Sa 7 92 4M G e Z Fax: 5a 9' egya 6 sic/
Contractor Lic No 4ior,e re755474 Date: G _ 20 -Zoo '7
City Business Lic. No:
Commercial/Industrial Driveway
Rural Road Section
Sidewalk Repair/Construction
�P/�90G^P e 1cz3 p/Ice
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.
Signature
Date t- n -b
Method of Payment:
❑ Cash 12Kcieck 0 Mastercard 0 VISA 0 Other
Bankcard #: Expires: VIN#:
Authorized Signature:
Effective October 28, 2007
P:\Community Development\Forms\Building forms\Approach Permit eff 10-28-07.doc
5
lc- Aoigtr,�r
Spokane
Valley
Development Engineering
11707 E Sprague Ave Suite 106 • Spokane Valley WA 99206
509.921.1000 ♦ Fax: 509.921.1008 1 cityhall®spokanevalley.org
Approach Permit Application Review
TO: Building Department
Site Address: 2808 S. Bates Rd.
Project No: 8-3239
Accepted
Not Accepted
Approach
X
Building Location
Paved Access
Notes:
Reviewed By:
Date: �/�/9,62