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2013, 03-15 Permit App: APR-2013-0006 Approach
Spokane .000Valley Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 permitcenter©sookanevalley.orq (Staff Use Only) PERMIT NUMBER:Wi E 13-ap PERMIT FEE: APPROACH PERMIT APPLICATI / N � /1-(1: I - N DATE: ADDRESS: ! g07 gl%�%� \S7L/SNA/c A� eg 33,D/C-�'a START DATE: 3-,,,26- (.5 ANTICIPATED COMPLETI Z3 BUILDING OWNER NAME: _-TeD VC/ `'y% //E MAILING ADDRESS: /78w r_ . G[0 7//fi//-� � � CITY: ()�////7 '" STATE: Up v ZIP: f 7 C/r 3 6 CONTACT PERSON NAME: 8/2-6 t[iC.-- V/ (Y 7 PHONE: g53 �5 � FAX /‘‘' 2_ CELL: .52�,?2V5 CONTRACTOR NAME: W/Z_L_/tK_f MAILING ADDRESS: I 7gc7' Y E Z4 -1/ j', /Gi /C'‘‘) — / CITY: %7/767/ 4.Y STATE: G'CJ��!/9 ZIP: QV / ---?6 PHONE: ?5334"5 FAX:079(-- ��G"62_ CELL: Y23 -1S 3 5 - CONTRACTOR LICENSE No.: WI/UCS S''I(EXPIREs: /-5---..-4/5 CITY BUSINESS LICENSE NO. (//c5/lJ 8--C PROJECT DESCRIPTION (Please Provide Site Sketch) jEl Residential Driveway ?emv/c ` , / e El Commercial/Industrial Driveway ❑' Existing Curb & Gutter 6--r-j '064C N El Rural Road Section Culvert Installation Q Sidewalk Repair/Construction 111 Other Conditions: Bond/Insurance certification must be on file with the City. DISCLAIMER The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction 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) The 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 submit d and subsequently approved before this application can be processed. Signature 4}/U/11,47 ZittrOci;ate: _7-45=47 vo_ct \F•roject R `\(ED 1, 5 2O\3 cSJ PER',;'IT CENTER Updated 1-11-11 Page 1 of 1 http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Approach_Permit_1-11-11.doc • • 9&0 7 4. 6/77/7/YV 44-1411 Coact* hien o 44;11, wA6. VS/ Cs� PER.. 6/7 /27/r1//moo' C2vc,eE7 7s� --74z/ci<Eti ,52 .0517- CU'' LI WE g' • 4f,9GL REj7 VFX4P�' ce •