2004, 07-29 Permit: ROW-04-536 ROW Inspections performed10 days after
scheduled completion to schedule call
tiTy0 cc
(509)688-0195 or Fax(509)688-0037. Any re-
' inspection will incur an additional $25.00
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charge.
11707 E Sprague Ave, Suite 106
Spokane Valley,WA 99206
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ROW Construction Permit
Permit# ROW 04-536 Issue Date 7/19/2004 Account#
Completion Date Issued by Ddompier Construction Utility
Location of Property Project Description
El ❑
14614E QUEEN AVE driveway
Comments
CONSTRUCTION OF NEW DRIVEWAY
Applicant HARLEY DOUGLAS
Contractor Name CRN # Individual Name
INDIVIDUAL
Address Contractor Phone#
Bond Origination Date Bond $ Account#
$0.00
Permit Fee Inspection Fee Total Fees Collected
$25.00 $25.00 $50.00
Permittee Signature ApprovedJO
' Date 7,2e7 t.7(-
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my cr dit card.
Credit Card# Expiration Date
Name of Holder 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 ,,..:f....„ f'
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HARLEY C DOUGLASS INC.
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Call 24 hours before inspection required
u� Phone 509.68'8-0036 Fax 509.688-0037
Sókane
Valley DEPARTMENT OF PUBLIC WORKS
Anticipated start date Permit # PW
APPROACH PERMIT
APPLICATION
Location of property 14614 E Queen 46353.4304
(Address/Parcel #, if available)
Applicant Name Harley C Douglass Inc
Address 8510 N Crestline Spokane 99217 Phone 509 487-9792
Contractor's Name
Address Phone
Contractor's Reg# Expires
PROJECT DESCRIPTION (Provide site sketch)
1\4 Residential Driveway I I Commercial/Industrial Driveway
Existing Curb & Gutter I I Rural Road Section •
I I Culvert Installation I I Sidewalk Repair/Construction
II Other conditions
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONDITIONS:
•
PERMIT FEE $ Inspection Fee$
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card # Expiration Date
Name of Holder Signature _
Fees Paicl$ Date !nit