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2005, 06-17 Permit App: 05002046, ROW, Plumbing Reversal90'39ed Z£70Z6B60s Spokane 4Ua11ey EZ:71 s00Z £L Nnr Call 24 hours before inspection required Phone 509.688-0195 Fax 509.688-0037 DEPARTMENT OF PUBLIC WORKS Anticipated start date June 21,2005 Permit # Account # 000122 ROW CONSTRUCTION PERMIT Location of property 13001 E. Cataldo (Address/Parcel #, if available) Applicant Name Butcher Address Same Contractor's Name Norm's Excavating, Inc. Fax 892-0482 Address PO Box 574 Veradale, WA 99037 Phone 5091928-0580 Contractor's Reg# NORMSEI972BM Expires 01/14/07 PROJECT DESCRIPTION x Sewer Connection n Curb & Gutter Cable/Conduit/Pole n Other InPavement Cut (Provide site sketch or plan as necessary for clarity) nDriveway LIGas Installation/Repair Sidewalk Repair/Construction Dimensions Bondfinsurance certification must be on file with the City. Band # 103957298 Permittee Signature Approved Date I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card. Card # Expiration Date 09/30/05 Name of Holder Sheila Gibbons Signature Fees Paid$ 16.00 $23.00 Date Init (Application) (Inspection) In addition to the permit application fee of $16.00 (utility) or $25.00 (construction), inspection on each permit will be billed to the permittee at a rate of $50.00 per hour with a $25.00 (1/2 hour) minimum. Permittee signature constitutes an agreement to these terms and provisions. Work completed satisfactorily (Signed) Permit not valid until One -Call Notification Ticket 4 entered here Date PERMIT MUST BE KEPT ON SITE 8'd Z£bOZ68609 ONIlVAVOX3 SINHON dlvo50£I unr