2006, 02-10 Permit App: 06000361 Water Main Repair02/06/2005 07:41 5097_59000
MAR 25 e&i3 13:07 FR
MODERN ELECTRIC
PAGE 01
TO 7559 o 'P.02/02
Cil; of PERMIT # PW 2�
SPOKANE; VALLEY
UTILITY RIGI-TT — OF — WAY APPLICATION 'A
• AND PERMIT
PUBLIC WORKS J)EPAP.TMENJ'
APPLICATION
Locntlon of properly In volved (or nddr-ess)E /O9/go &977/42 AV/7144 '
Nntie ofcompany MIDERILELE`_4TSi1C WATrp l'ALIPANY
Address of compnnilt VOLNILO7aNE VALIL.Yr{Pl M11 phone `122 t s L;o
Contnictors name
Contractors adtlr-eas pitons
Contractors registration Number .Erplr2tion dote
flight oflVny:
Pact:metal orshlen-3fkintrusive_ yeS__17 No
Intrusive outride of pavement or 51(1i: walks. Yrs ✓ No
f.crLLLof cut (:r_ ft. :Dept It of cut 11 ft. Width of cut(;, ft.
Direction of cut
Contact pert Olt n, j , J3 ':re. "t'_S
.tddres'e of Cotitnct
Thune
T'Iease axpinin hi detail the dc+cr-iption of the Activity prnpo;cd. f,t7' , r`-,vCY'f-
catr?rI e o XyIl7ep /Mth AT t SGv'' 4l17>Z55S. So°7-n: S,,vr
eLF2'2Lc>r if/41
1 trcrrby out/whit ttrr City of Snol-i nt galley II, erutre the fee for (My penult to my cradle tird:
Si,u ht urr.rth.r);c -_
Pilaf nun, iif bniitrr .. Stumm c "
1.'EttSpeclLd Cnnditinirs
Reston f inn: Perm Ititati
7)•pc of her(- fill ni lrx t ual: gravy) oudil
IS A COPY OF A ItON.n DEPOSITED WEIR TELE ern' or sshik;kwE VALLEY
A COPY UF't')I} CITY ; [71 ii I"t'1' I,1:>.ftf:r:,Yl-7t' INSURANCE t (JL1C1' MUST EL ON
VILE ATTIft; CITY.
•PERJ\1IT FEE $_ -INSPECTION 1TEE 5
Approved
.11ublie Yorks Director
FEB as 2aes ea:a_
fittL 2f frocks fEFORE1XS'NRCI'!'O:Y_YF_ 4o.b'U
0
ph 502-483-0036 IFa:7 S09488-0037
fit1 P f:P. Cr) *1:.,09!; T1T47559020 FREE.01