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2016, 05-17 Permit App: ROW-2016-0253 ROW Community Development Department g , Permit n Spokane 11703 EastCeSpragueter Avenue, Suite 8-3 (Staff Use Only) Spokane Valley, WA 99206 PERMIT NUMBER' Tel: (509) 688-0036 41 Valley Fax: (509) 688-0037 PERMIT FEE:_ permitcentera@sookanevalley.orq RIGHT OF WAY (ROW) PERMIT APPLICATION 0 APPROACH n PAVEMENT CUT (SEE BELOW) C1 CURB & GUTTER 0 WORK THROUGH MANHOLE Q OTHER ROAD OBSTRUCTION NO YES (if yes, complete the following) • % of street or # lanes that will be obstructed: • Length of time street will be obstructed: b If work closes more than 50% of a local access street, or closes any portion of an arterial street, then a TRAFFIC PLAN IS REQUIRED 0 Pre-Approved TCP Proposed: PROJECT ADDRESS: ,a(>r S Cyr- PARCEL NUMBER: APPLICANT'S JOB #: LOCATE TICKET# START DATE: 3423heo ANTICIPATED COMPLETION DATE: / PROJECT DESCRIPTION: G! S�/� `rU SE cam, ZZ68 /.5U (�n. - '241 1r PROPERTY OR BUILDING OWNER INFORMATION (IF APPLICABLE) ��JJ NAME: MAILING ADDRESS: CITY: STATE: ZIP: PHONE: FAX: CELL: CONTRACTOR INFORMATION NAME: f�R CX U 1 ' L 1 i ELLC MAILING ADDRESS: 41-.1 + (,v '1 p RA T e26 R CITY: (Y\€ C-161 '\ N STATE: j T ZIP: (36A"Z_ PHONE: 609 - S 3- J Z 72.. FAX: 509'-9 g 3 --a 52-5 CELL: CONTRACTOR LICENSE NO.: 'TRAc k U L g 70C i- EXPIRES: CITY BUSINESS LICENSE NO.: BOND/INSURANCE CERTIFICATE# (per SVMC Title 10, Article 2): CONTACT NAME: \J(C ' —r1,t 12_4,tom_ PHON �` �T -1272- S CEIVED CSV PERMIT CENTER AY 1 7 2016 Project# a ZG/ —0 5_3 Name Submittal* —" Modified April 14, 2014 C:\Users\vturner,TRACK\Downloads\rowoa (2).doc Page 1 of 2 Received Time May, 17. 2016 12: 26PM No. 3412 **** IF PAVEMENT CUT, COMPLETE THE FOLLOWING **** NATURE OF WORK: (circle one) Gas I Electric 1 Water CATV Communication Sewer Other TYPE OF CUT/REPAIR: r (circle one) Asphalt ' Gravel Concrete Other SIZE OF CUT (width) x (length) STAFF TO COMPLETE: ROAD TIER: PAVEMENT CUT POLICY APPLIES? 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 Inures 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 submitted and subsequently approved before this application can be processed. EXPIRATION Right-of-way permits issued between April 1" and September 30th are valid for 30 days after the date of issuance, with a one-time 30-day extension available. Right-of-way permits issued between October 1st and March 31'are valid until the following April 30th Applicant Signature: A._ 1/1.:C/L4a.(...--) Date: ----h -7/8„ Method of payment: 0 Cash 0 Check ❑ Visa** 0 Mastercard** ** If paying with credit card, the City will call for credit card information when the permit is ready to be issued. PLEASE FAX TO CITY OF SPOKANE VALLEY (509) 688-0037 UPON COMPLETION • Modified April 14, 2014 C:\Users\vturner.TRACK\Downloads\rowoa (2).doc Page 2 of 2 Received Time May, 17. 2016 12: 26PM No. 3412 23 16316 16406 16416 16321 16325 16405 16415 / I L 47_. . - E 22ND AVE r 1926 JT#59876 16111 22ND AVE MAINT I0 16206 E 22ND JT#49152 16201 16305 '8 2 N .A." SPLICES UNDER SInFWAI K 876 218 OO 25 d 2315 CDCDCD TCP 5 Typical Shoulder Closure - Low Speed (40 mph or Less) BUFFER DATA LONGITUDINAL BUFFER SPACE = B SPEED 1/'011 25 30 35 40 45 60 56 60 65 70 LENGTH Mei/ 155 200 200 305 - - - - - - ProSYti+e %elide 109,11nended - may ba a cork whide. 6 a TMA is net available, the pralaAe Ware ma0 be strategically 5tabed m Die field to shield =deem ed no mT ahead dater®e specified. SIGN SPACING = X (FEET) (1 ) RURAL ROADS 6 URBAN ARTERIALS 35 / 40 MPH 3603 RURAL ROADS, URBAN ARTERIALS 25/30 MPH 2O0s RESIDENTIAL 1 BUSINESS DISTRICTS (4 URBAN STREETS 25 MPH OR LESS Wax G3 ALL S1555 ARE 4r x 46 BLACK ON ORANGE UNLESS OTHERWISE DESIGNATED. (1) AMI spacing may be adjusted 10 accommodate interchange lamps, at -glade intersections, and driveways. (2) This spa may be reduced in urban alias to fit roadway conditions. MINIMUM TAPER LENGTH = L (feet) Shoudar (866 (550 Pfd 550ad (mph) 25 30 35 40 45 50 S 00 66 70 8 04 120 182 210 - • - - - 10 105 150 204 270 - - - - - 3 DEVICES MINIMUM SPACED 10 O.C. IN TAPERS FOR SHOULDER WaTTHS LESS THAN IT FEET CHANNELLaNG DEVICE SPACING (FEET) MPH TAPER TANGENT 35/40 30 60 26/90 20 40 W20-1 LEGEND W21-5 SIGN LOCATION • • • CHANNELIZING DEVICES ® PROTECTIVE VEHICLE - RECOMMENDED NOTES 1. Protective vehicle recommended - may be a work vehicle. 2. When used, device spacing for the downstream taper should be 20 O.C. TYPICAL SHOULDER CLOSURE - LOW SPEED (40 MPH OR LESS) TCP 5 sauoz wom Xieuoijen