HomeMy WebLinkAbout2014, 10-13 Permit App: APR-2014-0109 ApproachApfrxiii -cioq
Community DeveloFmefilRe Rent -Vent" Staff
(
Permit Center IT NUMBER(Staff
Spokane 11703 East Sprague Avenue, Suite �3E C E I V
Spokane Valley, WA 99206 PEILMITFEE:
%HerTeFax:9) 6885240 OCT 13 20 4
Fax: (509) 688-0037
permitcenternsookanevallev.ora
CSV PERMIT CENTER
APPROACH P 1'IIT.A.P-PLICATION.—
Jse Only)
PROJECT ADDRESS:
Szas AD. 41067-0A)
START DATE: / D –(7 --,..tot V ANTICIPATED COMPLETION DATE: '( - / 3 - 2 0 / _5 —
BUILDING OWNER NAME: 1, A) L. H 4WLQ.S , L L C
MAILING ADDRESS: v. (D (.L,v r t)>`./ } . -I-- /� SI a 3 0 0 a
CITY: 7 J I\ A.i e W--�,,( ((e 4 STATE: l./A�.))) A- • ZIP: / 9 . - Q
CONTACT PERSON NAME: (C... e, .c 7 u_Le e s r
PHONE: (5 o 9 ') c/ Z ` I -(a (( FAX: (J' U 9 J l
9Z2.-01 5>5°. CELL:
CONTRACTOR NAME: L/1) L, I-1-oI twe. g / C L L
1 1
MAILING ADDRESS: l t o L N i J -e. !' 3•+
o Ke .tl t . / U Or (I e VI STATE: ILO AJ rot • ZH': 9 9 Z 0 L
PHONE: (37)9 fc3`L-(•1//J /
Fac: (3o9 92.1-Oi95-
CITY:
5t, so 0
CONTRACTOR LICENSE #: (Al L 140 11 CA
EXPIRES:
CELL:
CITY BUSINESS LICENSE #:
Residential Driveway
///���❑ Existing Curb & Gutter
0 Culvert Installation
D Other Conditions:
PROJECT DESCRIPTION (Please Provide Site Sketch)
0 Commercial/Industrial Driveway
El Rural Road Section
0 Sidewalk Repair/Construction
Bond/Insurance certification must be on file with the City.
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction 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) The 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
DE -00I: V-1
,4\ktsAJ
Date:
Page 1 of 2