2004, 10-15 Permit: ROW-04-817 ROW Inspections performed 10 days after
scheduled completion to schedule call
;Ur% oF1( I
(509)688-0195 or Fax(509)688-0037. Any re-
n inspection will incur an additional $25.00
charge.
4000011F valley
11707 E Sprague Ave, Suite 106
Spokane Valley,WA 99206
ROW Construction Permit
Permit# ROW 04-817 Issue Date 10/15/2004 Account#
Completion Date Issued by Kcumm ings_ Construction Utility
Location of Property Project Description
822 N WALNUT driveway
Comments
NEW DRIVEWAY APPROACH
Trench Dimensions AC Cut Required
Applicant/Contractor Name Licence # Individual Name
INDIVIDUAL FULLER, CLYDE & DO
Address Contractor Phone #
Account#
Permit Fee Inspection Fee Total Fees Collected
$25.00 $25.00 $50.00
Permittee Signature Approved Date
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Credit Card# Expiration Date
Name of Holder Signature
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 MUST BE KEPT ON SITE