2009, 04-30 Permit App: 09001139 Driveway Approach0****Nmft,
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Community Development
Permit Center 1 PERMIT NUMBER:
11703 E Sprague Ave, Suite B-3
Spokane Valley WA 99206 = v L RMIT FEE:
(509)688-0036 FAX: (509)688-0037�p���
www.spokanevalley.org a
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Approach Permit Application
PROJECT ADDRESS , r —7 /..-7 FAR A
START DA 1'h
ANTICIPAIhD COMPLETION DATE
Building Owner:
Contractor:
Name: -v� h1 J1/\ FYArd S `' `-
Address: f `7) 7 F,4Rk
City: t,pc)kArUE V P J (C'-)1 State: LJ Zip: 9.94(41
Phone: 509 `999-75 5 .2 Fax:
Contact Person
Name: 0TL 4/1,. .,2
Address:
Name: 5'J M iv\ LA N S1-4
Phone: SO 9 - 7 S,, j
PROJECT DESCRIPTION (Provide site sketch)
Residential Driveway
Existing Curb & Gutter
Culvert Installation
Other Conditions
City:
State:
Zip:
Phone: Fax:
Contractor Lic No: Exp Date:
City Business Lic. No:
Commercial/Industrial Driveway
Rural Road Section
Sidewalk Repair/Construction
Bond/Insurance certification must be on file with the city.
DISCLAIMER
The permittee verifies, acknowledges and agrees by their signatures that: 1) If this permit is for construction of 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) This 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 proce ed.
Signature
Method of Payment:
0 Cash ❑ Check
Bankcard #:
Authorized Signature:
REVISED 319106
Date 4-3o- o I
❑ Mastercard ❑ VISA
Expires: VIN#:
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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: 1717 N. Farr
Project No: 9-1139
Accepted
Not Accepted
Approach
X
Building Location
Paved Access
Notes: Saw cutting of existing curb is not allowed within the City's
jurisdiction. Driveway is to be inspected by the City's ROW Inspector prior
to concrete placement.
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Reviewed By: i�%/i j 4��` Date: `'�3o 7