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2008, 08-01 Permit App: 08002983 Approach4 Project Number: 08002983 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 8/1/2008 Page 1 of 2 Project Information: Permit Use: RESIDENTIAL APPROACH Setbacks: Front Site Information: Left: Right: Rear: Contact: FIVE STAR CONCRETE INC Address: 6225 N MALVERN RD C - S - Z: OTIS ORCHARDS WA 99027 Phone: (509) 226-1189 Group Name: Project Name: Plat Key: 000000 Name: Range District: East Parcel Number: 45233.1411 Block: SiteAddress: 1111 S CALVIN RD Location:: CSV Zoning: R-3 SF Res District Water District: 010 VERA Area: 12,213 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Lot: Owner: Name: CROSKREY LIVING TRUST, R DA Address: 1111 S CALVIN SPOKANE VALLEY, WA 99037 Hold: 0 Depth: 0 Right Of Way (ft): 0 Review Driveway/Approach Permits: Contractor: FIVE STAR CONCRETE INC Address: 6225 N MALVERN RD OTIS ORCHARDS WA 99027 Item Description APPROACH -CONST IN ROW Units 1 Operator: jmm Printed By: jmm Approach Firm: FIVE STAR CONCRETE INC Phone: (509) 226-1189 Unit Desc NUMBER OF Fee Amount $50.00 Permit Total Fees: $50.00 Print Date: 8/1/2008 4 Project Number: 08002983 Inv: 1 Notes: Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 8/1/2008 Page 2 of 2 Payment Summary: ,:.—., Permit Type Approach Fee Amount Invoice Amount Amount Paid Amount Owing $50.00 $50.00 $0.00 $50.00 $50.00 $50.00 $0.00 $50.00 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: jmm Printed By: jmm Print Date: 8/1/2008 Sbo'liari j 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: 1111 S. Calvin Rd. Project No: 8-2983 Accepted Not Accepted Approach X Building Location Paved Access Notes: Reviewed By: Date: 7//;q m w a r c 5092261159 31 2008 15:39