2004, 06-11 Permit: ROW 04-399 ROW*Wane
alley
Inspections performed 10 days after
scheduled completion to schedule call
(509)688-0195 or Fax (509)688-0037. Any re-
inspection will incur an additional $25.00
charge.
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
9
ROW Construction Permit
Permit # ROW 04-399
Completion Date
Location of Property
1202 S Lloyd
Comments
Issue Date
Issued by
6/11/2004 Account #
Construction
Project Description
driveway
Utility
Trench Dimensions
Applicant/Contractor Name
Lindsey Construction
Address
P.O. Box 30792
Spokane WA 99223 -
AC Cut Required
Licence # Individual Name
Permit Fee
jg
Inspection Fee
$25.00
Permittee Signature
Contractor Phone #
509-879-3420
Account #
Total Fees Collected
oD
Approved
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Credit Card #
Name of Holder
Expiration Date
Signature
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
PERMIT MUST BE KEPT ON SITE