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2006, 02-27 Permit: 06000552 Residence
Project Number: 06000552 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 2/27/2006 Page 1 of 3 Project Information: Permit Use: SINGLE FAMILY W/ ATTACHED GARAGE, GAS HEAT Setbacks: Front Left: Right: Rear: Site Information: Plat Key: Name: Hidden Valley Contact: VIKING CONSTRUCTION INC Address: 2605 W HAYDEN C - S - Z: HAYDEN LAKE, ID 83835 Phone: (208) 762-9106 Group Name: Project Name: District: East Parcel Number: 55073.1932 SiteAddress: 17406 E KNOX AVE Location:: CSV Zoning: UR -3.5 Water District: Area: 7,400 Sq Ft Block: Urban Residential 3.5 Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Lot: Owner: Name: VIKING CONSTRUCTION INC Address: 2605 W HAYDEN HAYDEN LAKE, ID 83835 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Building Plan Review Released By: Originally Released: Driveway/Approach 2/24/2006 By: TMELBOU Released By: Originally Released: 2/27/2006 By: amblake Landuse/Zoning/HE Conditions Released By: Sewer Review Permits: Originally Released: 2/27/2006 By: HKAUER Released By: Operator: AMB Printed By: AMB Print Date: 2/27/2006 Project Number: 06000552 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 2/27/2006 Page 2 of 3 Contractor: VIKING CONSTRUCTION Address: 2605 W HAYDEN AVE HAYDEN, ID 83835 Item Description APPROACH -CONST IN ROW Contractor: VIKING CONSTRUCTION Address: 2605 W HAYDEN AVE HAYDEN, ID 83835 Description Grp Type 1&2 FAMILY R-3 VB 2ND FLOOR R-3 VB COV DECK R-3 VB GARAGE U-1 VB Item Description RESIDENTIAL PERMIT FEE WSBC SURCHARGE SF PLNS RVW < 7999 SQ FT Notes Contractor: VIKING CONSTRUCTION Address: 2605 W HAYDEN AVE HAYDEN, ID 83835 Item Description GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING VENTILATING FANS RANGE HOOD -TYPE II Approach Firm: VIKING CONSTRUCTION Phone: (208) 762-9106 Units Unit Desc 1 NUMBER OF Permit Total Fees: Building Permit Fee Amount $50.00 $50.00 Firm: VIKING CONSTRUCTION Phone: (208) 762-9106 This Application: Total Project: Sq Ft Valuation Sq Ft Valuation 613 $52,944.81 613 $52,944.81 939 $70,124.52 939 $70,124.52 63 $5,441.31 63 $5,441.31 462 $10,164.00 462 $10,164.00 Totals: 2,077 $138,674.64 2,077 $138,674.64 Units Unit Desc 1 1 1 SELECT SELECT SELECT Permit Total Fees: Mechanical Permit Fee Amount $1,212.15 $4.50 $484.86 $1,701.51 Firm: VIKING CONSTRUCTION Phone: (208) 762-9106 Units Unit Desc 1 NUMBER OF 1 NUMBER OF 3 # OF UNITS 4 NUMBER OF 1 NUMBER OF 1 NUMBER OF Operator: AMB Printed By: AMB Permit Total Fees: Print Date: Fee Amount $10.00 $12.00 $3.00 $40.00 $10.00 $10.00 $85.00 2/27/2006 Project Number: 06000552 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 2/27/2006 Page 3 of 3 Contractor: VIKING CONSTRUCTION Address: 2605 W HAYDEN AVE Phone: (208) 762-9106 HAYDEN, ID 83835 Plumbing Permit Firm: VIKING CONSTRUCTION Item Description TOILETS/BIDETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER WATER SOFTENER MISCELLANEOUS FIXTURES Notes: Payment Summary: Permit Type Approach Building Permit Mechanical Permit Plumbing Permit Units Unit Desc 3 NUMBER OF 4 NUMBER OF 2 NUMBER OF 2 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 3 NUMBER OF Fee Amount $50.00 $1,701.51 $85.00 $108.00 Permit Total Fees: Fee Amount $18.00 $24.00 $12.00 $12.00 $6.00 $6.00 $6.00 $6.00 $18.00 Invoice Amount $50.00 $1,701.51 $85.00 $108.00 Amount Paid $0.00 $0.00 $0.00 $0.00 $108.00 Amount Owing $50.00 $1,701.51 $85.00 $108.00 $1,944.51 $1,944.51 $0.00 $1,944.51 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: AMB Printed By: AMB Print Date: 2/27/2006 Project Number: 06000552 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 2/24/2006 Page 1 of 2 Project Information: Permit Use: SINGLE FAMILY W/ ATTACHED GARAGE, GAS HEAT Setbacks: Front Site Information: Plat Key: Left: Right: Rear: Name: Hidden Valley Contact: VIKING CONSTRUCTION INC Address: 2605 W HAYDEN C - S - Z: HAYDEN LAKE, ID 83835 Phone: (208) 762-9106 Group Name: Project Name: District: East Parcel Number: 55073.1932 SiteAddress: 17406 E KNOX AVE Location:: CSV Zoning: UR -3.5 Water District: Area: 7,400 Sq Ft Block: Urban Residential 3.5 Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information:ftv.,,otrappriovemonmentepossir Lot: Owner: Name: VIKING CONSTRUCTION INC Address: 2605 W HAYDEN HAYDEN LAKE, ID 83835 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Building Plan Review Released By: Driveway/Approach Originally Released: 2/24/2006 By: TMELBOU Released By Landuse/Zoning/HE Conditions Sewer Review Released By: Permits: reMinIVOMENVATAAMOIVIMARtfr Operator: AMB Printed By: jmm Print Date: 2/24/2006 Project Number: 06000552 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 2/24/2006 Page 2 of 2 Approach Contractor: VIKING CONSTRUCTION Firm: VIKING CONSTRUCTION Address: 2605 W HAYDEN AVE Phone: (208) 762-9106 HAYDEN, ID 83835 Building Permit Contractor: VIKING CONSTRUCTION Firm: VIKING CONSTRUCTION Address: 2605 W HAYDEN AVE HAYDEN, ID 83835 Phone: (208) 762-9106 Mechanical Permit Contractor: VIKING CONSTRUCTION Firm: VIKING CONSTRUCTION Address: 2605 W HAYDEN AVE Phone: (208) 762-9106 HAYDEN, ID 83835 Contractor: VIKING CONSTRUCTION Address: 2605 W HAYDEN AVE HAYDEN, ID 83835 Notes: Plumbing Permit Firm: VIKING CONSTRUCTION Phone: (208) 762-9106 Payment Summa 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: AMB Printed By: jmm Print Date: 2/24/2006 e3/a3/290s 98:38 2987820567 VIKING CONST 0411,;: Co 'Tr' SPO1 SNL COUN a� DEPARTMENT OF BUILDING &T PLANNING 1026 1 ✓EST BROADWAY AVENUE • SPOKANE, WA 99260-0050 I''. 5�:� t✓ 1 I U Site Information Project Information Site Addre:s: 17405 E KNOX AVE Parcel Number: 55073.1932 Suhdi��sirn: R1!\NGCE- -Iluc.k: Lot: Zuniu;�: CNK. Unknown C'wrier: VIKING CONSTRUCTION INC ,address: 2605 \V HAYDEN HAYDEN LAKE, ID 83935 Buildlrt� inspector: Can IIOH':n 1 \Cntcr Hist: Project Number: 06001043 Inv: I Issue hate: 2/29/2006 Perritt Use: NEW SEWER CONNECT, H:DDEN VALLEY Applicant: VIKING CONSTRUCTION INC 2605 W HAYDEN YD> LAKE, ID 83535 Phone: ;208) 752-9106 Contact: VIKING CONSTRUCTION INC 2605 W HAYDEN HAYDEN L. -\KE, ID 53,335 1'I one: (21 9) 762-9106 Scthacks - brunt: Leff Ri1',I,t: Rear: Groep \an-ic: Project Nnmc: 1 Permits Sewer Couwrt'i ii1 it Permit Conirnctnr: VIKING CONST2KL TION SI_WER CONNECTION r.iccnct A'TiCTC18Sf).r 585.00 PROCESSING FEE 515.0C TaInl I'cruili Gcc: 5100.09 FO t SEWER INSPECTIONS CALL THE UTILITIES DEPT AT (509)477-3604 FROM 8:30-5:00 MONDAY -FRIDAY PRIOR TO COVER ONE WORKING DAY NOTICE, REQUIRED. PERMIT ALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONAL INSPECTION PC -ES APPLY AFTER 30 ,VMINUTES. THE INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWATER DILAINS ARE CONNECTED TO THE SEWER AND MAY DIl REQUIRED TO PERFORM TESTS FOR VERIFICATION, INSTALLER 18 TO FIELD COCATE AND CONFIR\17N13 ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY O11 -,-R EXCAVATION, SEWER STUBS ARE TO BE CHECKED PRIOR TC CONNECTION TO ENSURE THAT THEY HAVE ACCEPTABLE GRADE AND Aiai CLEAR AND L20OBSTRUCTED TO THE MAIN. SEWER LINES SI ICULD CDE CONSTRUCTED TO ALLOW PGR GR Avrf ;' FLOW FROM THE LOWEST LEVEL OF THE STRUCTURE. THE IN:;TAL'_O..P \ND THIS PERMIT MUST BE PRESENT AT THE 303 SITE .47 THE SCHEDULED INS'2ECTICN TIME. TATE LAWRCW 19..22 AND COUNTY ' REQUIRE_ THE INS7ALLE GIVE E NOT ICE 00 EXCAVATION TO00'11.CODE R� \ DWNE; OF T DERCr OU :D FACILITIES. CALL 1.011-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKING DAYS IN ,TV ANCE. SPOKANE COUNTY CODE ;EQUIRSS THE INSTALLER COMPLY WITH A;.1. REQUIREMENTS OF THE WA STATE DEPT 05 LAT -300 & INDUSTRIES, 1NCLL:D:N ; THOSE RELATED TO TRENCH SAFETY. Total I,CS ,Amountraid A mraintOwinr 911)0.90 5100.00 S0.90 Payment Summary Tran Date 2/28/2000 Processed Ii.' : 1-LLnSCf, Tom 1'r1ntc,f I5,: WENDEL.00001,A I'n c . of 1 IZeceit't_' 5?5 Pavtncnt And 8'.00.00 l'UIL.I;(I -. ,_._ . C 1 Srforka .0001F Valley Community Development Permit Center ii i ';;r'; 11707 E Sprague Ave, Suite 1� [C (r Spokane Valley, WA 99206 (509)688-0036 FAX: (509)68i-0037 FEB 2 2 2006 «-z, w.spokaneZ alley oro.cor Residential Construction Permit Application }PiERMIT NUMBER: "d°ERMIT FEE: l e i l )�U)I!IIi,i)I1[, - ,New Construction o Addition/Remodel ❑ Other: o Accessory Bldg ❑ Deck SITE ADDRESS 1-i1 V\r"V .X 4pe ASSESSORS PARCEL NO: ,)! ) ,) ,. (: ( t LEGAL DESCRIPTION: �:C r �;� � (' IL l I fClL(j f l t:' Building owner Name: Address: ill &A U--- 'l -At). ((i, r"l Oa i City: t-ti.i'k( Lc r1 Zip: Y: , �1- ,Y) Phone: ,BUY 1Lt Lift/.Fax:C . iV;:)- L.SI_ 7 Contact Person:. Name: Phone: Describe the scope of work in detail: Contractor. Name: '. _f V._k Address: City: Zip: Phone: Fax: Lic No: Y 1 t<.4 IL; Lt(:iif:.M Exp. Date: City Business Lic No: Cost of Project: LI tlL1 Qj til (1(LrLtcy **************The following MUST be complete: (write N/A if not applicable)********************** HEIGHT TO PEAK: 2.0%-S"4- -- DIMENSIQNS: 31 -("x ' # OF STORIES: rtNd TOTAL HABITABLE SPACE: 1552 s4•c-r. MAIN FLOOR TO SQ. FTG: / `5 O lGN 2"" FLOOR SQ. FTG: C1,39• v (L UNFIN BASEMENT SQ. FTG: 41 IMPERVIOUS SURFACE AREA: ,.,,.,.., 6S8 sq . r , , FINISHED BASEMENT SQ. FTG: l A GARAGE SQ. FTG: .4G.K G DECK/COV. PATIO SQ. FT� C V. R'1 .40, 30% SLOPES ON ,/� P='C : *''t # OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE: S oz.. ..1 16TH.. SEWER �"•SEPTIC? We tz �.._ - ---- The permitee verifies, acknowledges and agrees by their signature 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 processed. Signature ` )1. 1L1t u `) Date =)—�l Method of Payment: (Faxed permlf applications will only be accepted with major bankcard) 0 Cash ❑ Check 0 Mastercard ❑ VISA Bankcard #: Expires: VIN#: Authorized Signature: REVISED 8252005 0 Other Sj�Iaa� jUalley 11707 E Sprague Ave Suite 106 ♦ Spokane Valley WA 99206 509.921.1000 ♦ Fax: 509.921.1008 ! cityhall@spokanevalley.org Residential Plan Submittal Minimums 0 Completed Building & Mechanical application with: Accurate address, Parcel Number and/or Legal Description, description of work, owner and contractor information, signature, and date. Two sets of plans including Site Plan, elevations, floor plans, foundation plans With details, roof plan, framing plans & details. tom. Show the height of any proposed buildings or accessory structures. Floor plan for each floor: Dimension to scale (minimum 1/8") and label each Room (including sq. footage of house and garage on plans) Show each level of existing house and square footage of any additions. 14„ All braced wall panel types: show locations and details of installation, including engineered design. Egress windows: Provide at least one window or exterior door approved for Emergency escape or rescue from a basement and in every room for sleeping. Smoke detector locations 22" X 30" attic access location t 18" X 24" crawl space access: )2` One-hour separation detail: between house and garage Floor framing details: Joist type, size, spacing and installation details Roof framing plan and details Furnace and hot water heater location. All header locations: type, size, and connections Foundation plan Insulation information Permit Center Sp©`oane 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 Community Development wvrwsookanevallev.or2.00711 Mechanical Permit Application o Commercial �Ma1Iey • SITE ADDRESS 11 "A ULC. V\0(..4.- Oct, PERMIT NI.MBER: PERMIT FEE: ,k Residential Building owner •-, rt i C- 1 Il."\ 1 f\ Name:�'',V hY1 �li 1 r•.) - I f(;, Phone: �i.`." --1 f - Fax .14' i- - Ali--11cf•71 Address: �'�����( ^ 1 -" l4 4 fi t_�I_i r s ��' _ City 1.4 'i `tri'),, , 1 State '� 1 Zip ,%1; i< Contractor Name: /A`tl/- -IND!tr11T Phone: Fax: Address: City State Zip License No: City Business License No: Contact Name: Phone: • • DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $12.00 2 FUEL BURNING APPLIANCE More than 100,000 X $15.00 3 UNLISTED APPLIANCE (Additional Fee) Equal to or less than 400,000 X $50.00 4 5 6 7 UNLISTED APPLIANCE (Additional Fee) More than 400,000 X $100.00 USED.APPLIANCE (WSEC min. AFUE rating) USED APPLIANCE (WSEC min. AFUE rating) BOILER/REFRIGERATION Equal to or less than 400,000 X $50.00 More than 400,000 X $100.00 1 - 100M BTU X $12.00 8 BOILER/REFRIGERATION 101 - 500M BTU x $20.00 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $25.00 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU X $35.00 11 BOILER/REFRIGERATION More than 1,750M BTU x $60.00 12 GAS LOG, GAS INSERT, GAS FIREPLACE X $10.00 13 RANGE X $10.00 14 DRYER X $10.00 15 FUEL BURNING WATER HEATER X $10.00 16 MISC. FUEL BURNING APPLIANCE X $10.00 17 GAS PIPING (each outlet) X $1.00 18 DUCT SYSTEMS X $10.00 19 VENTILATING FANS X $10.00 20 AIR HANDLER (DOES NOT include ducting) Equal to or less than 10,000 CFM X $12.00 21 AIR HANDLER (DOES NOT include ducting) Greater than 10,000 CFM X $15.00 22 EVAPORATIVE COOLERS X $10.00 23 TYPE IHOOD X $50.00 24 TYPE II HOOD X $10.00 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X 812.00 26 AIR CONDITIONER 3-15 TON X $20.00 27 AIR CONDITIONER 15-30 TON X $25.00 28 AIR CONDITIONER 30-50 TON X $35.00 29 AIR CONDITIONER More than 50 TON X $60.00 30 LPG STORAGE TANK X $10.00 31 WOOD OR PELLET STOVE/INSERT X $10.00 32 WOOD STOVE - FREE STANDING X $25.00 33 REPAIR & ADDITIONS X 815.00 34 VENTILATION SYSTEMS X 812.00 35 VENTILATION MECHANICAL EXHAUST X $12.00 36 INCINERATOR - RESIDENCE X 819.00 37 INCINERATOR - COMMERCIAL x 822.00 METHOD OF PAYMENT: ❑CASH ❑ CHECK ❑ VISA ❑ MC CARD #: AUTHORIZED SIGNATURE: DATE: EXPIRES: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: REVISED 8/26/05 141.2 TT -i07) O cAsE APR 29 2003 16:48 FR *lane .0„ONfill Plumbing Permit Application TO 12U8 rb�45b'( 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-588-0037 - fax For Inspections, call 309-688-0054 �;�C,-Y`� ADDR:..SS: --{ 1 L r DESCRIPTION DETAILS 1' i1 1- - O IPE USE: EQUALS AMOUNT I 1 TOIL= WATMI CLOSET, BIDETS 0) X MAILING ADDRESS: )l - 1 +1 1 b • 3., .r_, (_fit) 56 3 (cty,js::��) (�1. ) CONTRACTOR: ACTOR: o $6 - ;� SHOWERS (PER TRAP) LICENSE 9; PR. S PT 05 i -t D Is bL ILL iG ADDRESS: tin �. ! X � e - �, SINKS PHONE a: 11 _: ^ l B -'r 1 � (street 56 - 6 (city/state) (2Z) ?LAMBING FD'(TL73RES - FPI.R,E S 3ANICCA.RD NUMSEIL '.UT,:ORIZED SIGNATURE; -- DESCRIPTION DETAILS I OF UNITS X r COST EQUALS AMOUNT I 1 TOIL= WATMI CLOSET, BIDETS 0) X 56 - 2 URINALS X 56 3 TUBS X $6 - 4 SHOWERS (PER TRAP) BATH. STALL Orsi -,i 1 h BUILT ;, X 56 - 5 SINKS LAVS/BASINS, BAR, FLOOR, 1;1TC:iEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD PREP/CULINARY/MEAT Lk X 56 - 6 D5 WASHER ` X 36 - 7 CLOTHES WASHER i X 56 - 8 GARBAGE DISPOSAL 1 X 56 - 9 WATER SOFTENER X 56 - 10 ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X 56 - 11 FLOOR DRAINS AREA, CASE, COIL, TRSNCi, CONDENSATE X $5 ° 12 FOUNTAINS, DRINKING X 56 - 13 WATER PIPINC/DRAIN.IN WASTE, VENT, PLUMBING REVERSAL LNSTALLATION, ALTERATION, REPAIR, REVERSALS X 56 - 14 SEWAGE EJECTOR GRINDER, SUMP PUMP X 56 - I5 WATER USING DEVICE ICE STrAME:i, SWAMP ANT)/OR COFFEE MAICR, HOSE BIB, PRCCFER, CaRBONATOR, COOLER X 56 - 16 CROSS CONNECTION DEVICE' VACUUM BREAKER, CHECK VALVE, AND RP.3.7.D. FOR: PATS, TANKS, BOILERS - 17 SPRINKLER SYSM,I X 525 - 1E' INTERCEP'T'ORS GREASE HOLDING TRAP, SAND TtAP, CHEMICAL TANK X 19 MEDICAL GAS per outlet NITROUS, OXYGEN X 56 - 20 MISC. PLUMBING FIXTURE X 56 ?A`l,'vL'T CI -Ii SUBTOTAL: VISA" 10 .�. 0 ^: -' -•• __ : Y PLU$ PROCESSING F $35.00 TOTAL PERMIT FEE DUE: - FPI.R,E S 3ANICCA.RD NUMSEIL '.UT,:ORIZED SIGNATURE; -- • • �-�CFI \. w G:UcGyucC I( fl re Llie.,, .i:.v -'i O:.::J�J:..'V �:yh rV7.l.J o:." VLA, DEPAR. YLE fl OF PUBLIC RKS �.. rvc`f•e• � :rf-.,, -4I rel..-.�••• G...�.. &,',61: 4,L C^1, t.!•GA. 4..^-'4J: w+'4.i.b C k.41 GS'_'LC"-� APPROACH FERE, I Locaitiioty of property f ctiraadressIf 'amel #, �{' avnalabll ) �4 L � r Contractor's Name Address .!)-t1� ,%n�, L.fl,�.` 04111i.._�L`..L_U/1 Phone Expires i it ;JD.LL C atractor's RegiV kE:s3, ‘i{ PROJECT DESCRIIPTi IION (P'r n ido site sIz tz.E1) Resic{lent$.deE Drh`t°€ way Existing Cemb & c utfteir Culvert insta:E& ation CorrarnercEa lifintfustriai Driveway Rural Road Section S ewa k RepairIConstr cti n Ott r conditicins x_23. \ 1` "''' i• 1 f 1h See construction requirements and details on reverse. Bondiinsurance cerih5cation must be on file with the City. SPECIAL C'Ol DfTIONS: PERfifirr FEE $ fnspec:tion Fee$ 1 hereby authori?e the City of Spokane Valley to charge the fee for this permit to my credit card. Card r •r...t_i ri Cute Name of l-fofer Signature ate init ** TOTAL PAGE. C5 **