2009, 09-24 Permit App: 09003071 Approach Permit Center PERMIT NUMBER:
►JpO�� 11703 E Sprague Ave,Suite B-3
Spokane Valley,WA 99/N6:---. =e °*-n E?,�� PERMIT FEE:
(509)688-0036 FA) .(.09,)688,-0037_‘ iAI_i_EY
Community Development www.spokanevalley.org
SEP 2 4 2009
Approach Permit Application , t
PROJECT ADDRESS J 5 Z 0 E 19 L 7-"E
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START DA 1'h 9 ' Z 8~ C7 ANTICIPATED COMPLETION DATE 9- 30- ° y
Building Owner: Contractor:
Name: ,'ETT y /I L-7-6'.4 6 ur? 6 Name: aew 7 O7re/2 C et/J.7'
Address: / ?s- o e $q L TE S 6 Address: /0 CO (o 6 2O ±
City: 5/00A-4we 1fAlte y State: v4 Zip: City: Sp iceo/+/£ State: 4/4 Zip: 99tQd
Phone: 9L / , 860 Fax: Phone: ??..5/- 5'90 9 Fax: 9 9/- /'YB rfi
Contact Person Contractor Lic No: Exp Date: 6- L 4/
Name: 60 AI 7 '?O Ire/z City Business Lic.No:
Phone: 99 y' 5-FO
PROJECT DESCRIPTION (Provide site sketch)
XResidential Driveway Commercial/Industrial Driveway
Existing Curb&Gutter Rural Road Section
Culvert Installation Sidewalk Repair/Construction
Other Conditions
Bond/Insurance certification must be on file with the city.
DISCLAIMER
The permittee verifies, acknowledges and agrees by their signatures that: 1) If this permit is for construction of or on a dwelling, the
dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The
signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done in
full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of Spokane
Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or local laws,
codes or ordinances. 6) Plans or additional information may be required to be submitted, and subsequently approved before this
application can" be processed.�/
Signature 0'i 7-go 7r E Date 9 v e y-e
Method of Payment:
❑ Cash { Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard#: Expires: VIN#:
Authorized Signature: 440
Effective October 28,2007
Page 1 of 1
P:\Community Development\Forms\Building forms\Approach Permit eff 10-28-07.doc
CITY t,;F��►anQ Development Engineering
Eley
11707 E Sprague Ave Suite 106 • Spokane Valley WA 99206
509.921.1000 ♦ Fax: 509.921.1008 • cityhall®spokanevalley.org
Approach Permit Application Review
TO: Building Department
Site Address: 12520 E. Saltese
Project No: 9-3071
Accepted Not Accepted
Approach X
Building Location
Paved Access
Notes: Saw cutting of existing curb is not allowed within the City's
jurisdiction. Driveway is to be inspected by the City's ROW Inspector prior
to concrete placement.
Reviewed :B /7i7-xee,46)' i Date: 7/45//
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