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2005, 09-30 Permit App: 05003596 Road Obstructionb `jI La/ Lbb'J b /..jl del j 1:)3 j 7 u GLC." 1 Rll+ I --- — MAR 25 2003 1307 FR TO ?559000 P.02i02 .City of PERMIT # PW SPOKANE VALLEY UTILITY RIGHT — OF — WAY APPLICATION AND PERMIT PUBLIC WORKS DEPARTMENT APPLICATION Location of property involved (or address) N 'F Z 1 3IO NA)SON 'ROA -b Addms of compjLnyjQ%&jML_aM%LVAUAWA phone contradon .m Contraire address phone Contractors registration Number Expiration date Right of Way: Pavement or sidewalk intrusive. Yes No Intrusive outside of pavement or sidewallcs. Yes ✓ No � Length of eat Z2' ft. Depth of cut _4� ft. WIdth of cut (,- - ft. Direction of cat 1�- Ta w6 ST Contaat person Z#V(b To �4v Soy Address of contact Phone Please explain to desalt the description of the activity proposed. /NS {Age 1,& j2 W4 -T' P- A4 A �5S _ ,._. X bcccby as ftea t the City of 6"k ne valley to ebarge the fee for tbb permit to M croNt card: Via Ma arc----- Priatname of hoUter mpAtu-c i YL+ KM1 : Special Conditions Pmtoratiou: l'trmsnmt Tceaporary Ty jpe of bsek fM to be Qaed_ gtavai epi CW IS A COPY OF A BOND DEPOSITED WITH THE CITY OF SPOKANE VALLEY? A COPY OF THE CITY / UTILITY LIABILLITY ZSURANCE POLICY N= BE ON EILx AT THE CITY. _ PERMIT FEE S INSPE - ON FEE S - .Approved Public Worm Director Date CAU 24 HOURS BEFORE RUPECTIONNFEDEA Piton 509-"8-0036 Fir 909485-0037 a -o- WA, -F. )1ok TOTAL PPGE.02 SEP 29 2005 08 52 5097559000 PAGE.01