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2004, 05-21 Permit: ROW-04-00330 ROW Odf\llott Call 24 hours before inspection required Phone 509.688-0195 Fax 509.688-0037 'lane .000Valley kane lley DEPARTMENT OF PUBLIC WORKS Anticipated start date Permit# 04-330 Account# ROW CONSTRUCTION PERMIT Location of property 907 N. Van Marter Rd. (Address/Parcel#, if available) Applicant Name Diamond Rock Construction Inc Fax Address 15321 E. Mission Ave. Spokane Valley,Wa. 99037 Phone 509-924-8964 Contractor's Name Address Phone Contractor's Reg.# DIAMORC032OQ Expires 8-12-2004 PROJECT DESCRIPTION (Provide site sketch or plan as necessary for clarity) Sewer Connection ■ Driveway n Curb &Gutter Gas Installation/Repair ❑ Cable/Conduit/Pole ❑ Sidewalk Repair/Construction I 1 Water Installation/Repair Other Pavement Cut Dimensions Bond/insurance certification must be on file with the City. Bond# SPECIAL CONDITIONS: Construct driveway approach per Spokane County Standards as adopted by the City of Spokane Valley. See attached Provisions Permittee Signature Approved Z = ate Z_./—C7f I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card. Card# Expiration Date Name of Holder Si nature Fees Paid$ 25.00 25.00 Date !nit (Application) (Inspection) 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 not valid until One-Call Notification Ticket#entered here PERMIT MUST BE KEPT ON SITE