2005, 05-10 Permit App: 05001466 ROW Call 24 hours before inspection required L /LA G`-
Phone 509.688-0195 Fax 509.688-0037
Sökane.
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DEPARTMENT M NT OF. PUBLIC WORKS
Anticipated start date 5 //0 O Permit#
• ROW CONSTRUCTION PERMIT
Location of property 7 i S o C EJ cin-,
-� .
(Add ess/Parcel# If available)
Applicant Name ( ,Q Fax <1 �C 7
Address 370-7 L 6 Phone 5'3 0705
Contractor's Name P) 2_ Q COTh.3-
Address 3-70 i Phone 5-&3-C 705
Contractor's Reg.# U;�l 4 I F— F w t-)01/4..1 4� Expires Li — m=67
PROJECT DESCRIPTION (Provide site sketch or plan as necessary for clarity)
Sewer Connection El Driveway
nCurb & Gutter El Gas Installation/Repair
111 Cable/Conduit/Pole Sidewalk Repair/Construction
Water Installation/Repair n Other
FlPavement Cut Dimensions
Bond/insurance certification must be on file with the City. Bond#^
SPECIAL CONDITIONS:
Permittee Signature Approved Date
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 Signature_
Fees Paid$ 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 •
Excerpts from Spokane Valley Standards (3.24, and details A8 and A-8a):
•
• Every driveway approach must provide access to an off road parking area located
on private property.The driveway shall be of sufficient length so a vehicle in the
' driveway does not project into the road right of way,sidewalk, or pathway. .
• Public or private driveways in industrial, commercial, multiple family, church or
any like use shall be constructed to allow vehicles to exit without backing onto a
public road.
• Drivewayapproachesshall be constructed to avoid interference with existing
drainage inlets, culverts, road lighting standards, utility poles,traffic regulating
devices,fire hydrants or other public utilities.The applicant shall bear the cost of
relocating any such public facility.
• Driveway approach grades within the right of way shall not exceed 8% in urban
area, or 2% in rural areas. Driveway grades shall not exceed 10%within ten feet of
• a city right of way.
See Standards for a mote complete listing of requirements.
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