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2010, 07-07 Permit App: 10002000 Approach
scI �OF 01111/11\1111111114) (Staff Use Only) PERMIT NUMBER: r Valley R PERMIT FEE: CITY OF SPOKANE VALLEY t 6- 2-CC LTh---; Community Development Department Permit Center - --- 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 921-0037 perm itcenter@spokaneval lev.org APPROACH PERMIT APPLICATION PROJECT ADDRE :/ //e START DATE:e7 7 a ANTICIPATED COMPLETION DATE: 7%#g /i© BUILDING OWNER NAME: / < r 1 !'— MAILING ADDRESS: CITY: _�z2kR / ° STATE: /Alas ZIP: 2 9 Z. CONTACT PERSON NAME: / k PHONE: '7a 0 <2.—ce-i Y FAX: 6e [ Q CELL: j CONTRACTOR NAME: Y. t S� h exec' C Q � �J MAILING ADDRESS: pa / 767 /79/ CITY: cpa✓�i$✓L 1'L e 1/d/e STATE: 5 ` ZIP: ' _3i 3 0 /! / PHONE: cO / r ,� + �J��j,Lj FAX:&/��►'V�� ,2/CELL:7a/O FEZ 6 CONTRACTOR LICENSE No.:j/SCH c k EXPIRES:/�/3r/J 0 CITY BUSINESS LICENSE N / 1 c/I9 / PROJECT DESCRIPTION (Please provide Site Sketch) Residential Driveway 0 Commercial/Industrial Driveway ❑ Existing Curb &Gutter 0 Rural Road Section ❑ Culvert Installation 0 Sidewalk Repair/Construction ❑ 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 submitted and subsequently approved before this application can be processed. Signature Date: Method of payment: ❑ Cash 0 Check ❑ Visa ❑ Master and Bankcard #: VIN# Authorized Signature: �/ ` _ . Effective October 28, 2007 / Page 1 of 1 http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/Approach Permit.1.doc RECEIVED CITY` k6106°N ane u•. JUL 0 7 2010 Development Engineering ` ley Spokane Valley Permit Center 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: 1608 S. Vera Crest Project No: 10-2000 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 By: Gig i � Date: fr7 41 0 10 \ \//'