2005, 07-29 Permit App: 05002655 ApproachCat. 24 .hours before inspection required
Phone 509.688-0195 Fax 509.688-0037
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DEPARTMENT OF PUBLIC WORKS
Anticipated start date 1 Permit #
ROW CONSTRUCTION PERMIT
Location of property t H) 6 M L< L. L C LC2
(9)C--(
/— (Address/Parcel #, if available)
Applicant Name (9 i IjFka 141 V\ -S Fax
Address )LOC l`� ��� Phone �9a L/Y77
Contractor's Name
Address Phone
Contractor's Reg.# Expires
PROJECT DESCRIPTION (Provide
Sewer Connection
El Curb & Gutter
Cable/Conduit/Pole
fl Water Installation/Repair
Pavement Cut
site sketch r plan as necessary for clarity)
Driveway
Gas Installation/Repair
ElSidewalk Repair/Construction
n Other
Dimensions
Bond/insurance certification must be on file with the City. Bond #
SPECIAL CONDITIONS:
Permittee Signature Approved Date 7 y�a�
1 hereby authorize the City of S kane Valley to charge the fee for this permit to my credit card.
Card # Expiration Date
Name of Holder Signature
Fees Paid$
(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) Date
Date Init
Permit not valid until One -Call Notification Ticket # entered here
PERMIT MUST BE KEPT ON SITE
Excerpts from Spokane Valley Standards (3.24, and details A8 and A -8a):
• Every driveway approach must provide access to an off road parking area located
on private property. The driveway shall be of sufficient length so a vehicle in the
driveway does not project into the road right of way, sidewalk, or pathway.
• Public or private driveways in industrial, commercial, multiple family, church or
any like use shall be constructed to allow vehicles to exit without backing onto a
public road.
• Driveway approaches shall be constructed to avoid interference with existing
drainage inlets, culverts, road lighting standards, utility poles, traffic regulating
devices, fire hydrants or other public utilities. The applicant shall bear the cost of
relocating any such public facility.
• Driveway approach grades within the right of way shall not exceed 8% in urban
area, or 2% in rural areas. Driveway grades shall not exceed 10% within ten feet of
a city right of way.
See Standards for a mote complete listing of requirements.