2004, 12-28 Permit: 04009519 Water Installation61
Spokane
� . Valley
BUILDING DIVISION
11707 E Sprague Avenue Suite 106
Spokane Valley, WA 99206
Site Information
Project Information
Site Address: 9900 E BROADWAY AVF,
Parcel Number: 99999.0000
Subdivision:
Block: Lot:
Zoning: UNK Unknown
Owner: CSV -ROW
Address: BROADWAY & WALNUT
SPOKANE VALLEY, WA 99206
Building inspector. KEVIN SEVERANCE
Water Dist:
Project Number: 04009519 Inv: 1 issue Date: 12/28/2004
Permit Use: WATER INSTALLATION/10' SIDEWALK AND CURB CUT
Applicant: VIETZKE EXCAVATING
2011 S CRAIG RD
AIRWAY HEIGHTS, WA 99001 Phone: (509) 244-9607
Contact: VIETZKE EXCAVATING
2011 S CRAIG RD
AIRWAY HEIGHTS, WA 99001 Phone: (509) 244-9607
Setbacks - Front: Left: • Right: Rear:
Group Name:
Project Name: ROW
Permits
Right of Wav
Contractor: VIETZKE EXCAVATING
License #: VIETZECI2IMA
CONST IN ROW - UTILITIES
FOR RIGHT OF WAY INSPECTIONS CALI,
(509) 869-5373 ENGINEERING
1 S16.00 ROW INSPECTION .
Total Permit Fee:
1 $25.00
541.00
Payment Summary
Total Fees AmountPaid AmountOsving
$0.00
$41.00
$41.00
Tran Date
12/28/2004
Receipt # Payment Amt
6206 $4100
Notes / Conditions of Approval
PERMANENT ASPHALT PATCH PER PROVISIONS FOR C OF 0, OR CASH BOND OF $5000.00 PER K SEVERANCE
Processed By: DOMPIER, DAWN
Printed By: MIKE TURBAK Page 1 of 1
PERMIT