2009, 06-26 Permit App: 09001896 ROW DeniedPage 1 of 1
Jodi Main
From: Wayne McGavran
Sent: Friday, June 26, 2009 9:51 AM
To: Jodi Main; Alysa Wiyrick; Jenna Davis; Mike Turbak; Permit Center; Scott Wallace
Subject: RE: INLAND CABLE -09-1896
Jodi,
Development Engineering is not okay with this permit. Moore was paved last year
and cutting of pavement is not allowed under the pavement cut moratorium.
Wayne
From: Jodi Main
Sent: Friday, June 26, 2009 9:34 AM
To: Alysa Wiyrick; Jenna Davis; Mike Turbak; Permit Center; Scott Wallace; Wayne McGavran
Subject: INLAND CABLE -09-1896
Jodi Maim
Certified Permit Speciaeist
11103 B Spragae, 8-3
Sp°4eme Va88ey WA 99206
P: 509-688-0203
F: 509-658-0031
6/26/2009
STAane
Community Development
ROW Construction
Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter(a,spokanevalley. org
PERMIT NUMBER:
PERMIT FEE:
n Driveway ❑ Pavement Cut **(see below)
❑ Sidewalk ❑ Curb & Gutter ❑ Other
Road Obstruction ❑ No ❑ Yes (traffic control plan required)
PKUJJ U 1 AL)L)KE,SS
START DATE % _ 30 _ UC,
/u. rouLC
ANTICIPATED COMPLETION DATE SP__A-- 7 ���
Building Owner:
Name:
Address:
City:
State: Zip:
Phone:
Fax:
Contact Person
Name:
Phone:
**MUST BE COMPLETE IF PAVEMENT CUT**
Contractor: ¢�t." C.4
Name:; t il /L,(.. ZA
Address: 3 N. ✓, uc
Cityr �
1_1<__ State: uJ A Zip: "5l S
Phone: 5A — 91- &jfa3 Fax:.30`7 .22C _74g 3
Contractor Lic No ��l �� Exp Date: 1( -2_L -Z0, v
City Business Lic. No:
Tier
Policy
Type of Work
Gas
Electric
Water
CATV
Communications
Sewer
Other
Type of Repair
Asphalt
Concrete
Asphalt
Width Length
X
X
X
Condition of Cut
Sawcut
Grind (pre -approved only)
Existing Road Condition
Depth of Asphalt
Depth of Gravel
Concrete
Width Length
X
X
X
zt
(,) t 4,1z &" -455.
i / Pt3✓1C3 efk=3
Locate Ticket # e:/(
BOND/IN I NCE CERT #
Signatur
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
❑ Check ❑ Mastercard
Expires:
(PER SVMC TITLE 10 ARTICLE 2)
Date
❑ VISA
VIN#:
Work completed satisfactorily Date
(INSPECTOR)
PLEASE FAX TO.CITY OF SPOKANE VALLEY UPON COMPLETION (509)688-0037
REVISED 10/25/05