2004, 07-19 Permit: ROW-04-537 ROW •
Inspections performed 10 days after
;- scheduled completion to schedule call
(509)688-0195 or Fax(509)688-0037. Any re-
AAP A a inspection will incur an additional$25.00
1 11 gcharge.
11707 E Sprague Ave, Suite 106
3, Spokane Valley,WA 99206
ROW Construction Permit
Permit# ROW 04-537 Issue Date 7/19/2004 Account#
Completion Date Issued by Ddompier Construction Utility
Location of Property Project Description
14622 E QUEEN AVE driveway
Comments
CONSTRUCT 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 Approved Date
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit 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