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2005, 09-27 Permit App: 05003513 ROW, Plumbing FixturesSep '6 05 09:24a NORMS EXCAVATING Spokane .Valley Call 24 hours bcforC 1spection required Phone 509.688-0195 Fax 509.688-0037 DEPARTMENT OF PUBLIC WORKS r'• Anticipated start date 10/4/05 Permit # Account # 000122 ROW CONSTRUCTION PERMIT Location of property 816 N. Ravalli Dr. (Address/Parcel #, if available) Applicant Name Pringle Address Same Fax 892-0482 Contractor's Name Norrn's Excavating, Inc. Address PO Box 574 Veradale, WA 99037 Phone 5091928-0580 Contractor's Reg# NORMSEI972BM Expires 01/14107 PROJECT DESCRIPTION (Provide site sketch or plan as necessary for clarity) Driveway Sewer Connection Ti Curb & Gutter F-7 Cable/Conduit/Pole Other Pavement Cut t Gas Installation/Repair LiSidewalk Repair/Construction Dimensions Bond/insurance certification must be on file with the City. Bond #. 103957298 SPECIAL CONDITIONS: Permittee Signature Approved Date hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card. Card # Expiration Oate 09/30105 Name of Holder Sheila Gibbons Signature Fees Paid$ 70.00 (Application) (Inspection) In addition to the permit application fee of 816.00 (utility) or 525.00 (construction), inspection on each permit will be billed to the permittee at a rate of 850.00 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 Date !nit Permit not valid until One -Call Notification Ticket # entered here PERMIT MUST BE KEPT ON SITE PAGE.07 PPP acic G19: dR