2003, 07-14 Permit: PW-03-406 ApproachAPR 29 2003 16:48 FR
an �
�poo`�ane
4,1/alley DEPARTMENT OF PUBLIC WORKS
Anticipated start date Permit # PW 03— ` '11°
APPROACH PERMIT
TO 12097624507 P.05/05
Call 24 hours before inspection required
Phone 509.688-0036 Fax 509.688-0037
APPLICATION
Location of property , c)
,(AddresslPprcel #, if available)
Applicant NameVJ U V C x 6fl-
Cr. '`) Phone 1L94- 10
Contractor's Name \CJ(IX\ Lu.c
Phone
Address
Address .' 1r C
Contractor's Reg# Y t 1`i 1 eff5 Expires -J 11 I itbui
PROJECT DESCRIPTION (Provide site sketch)
7 Residential Driveway
Existing Curb & Gutter
Culvert Installation
Other conditions
U CommerciaUlndustrial Driveway
LJRural Road Section
ri Sidewaik,R
See construction requirements and details on reverse. Sond/insurance certification must be on
file with the City. —
SPECIAL CONDITIONS:
PERMIT FEE $
Inspection Fee$
1 hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card # Expiration Date
Name of Holder Signature
Fees Paid$ Date•
** TOTAL PAGE.05 **