HomeMy WebLinkAbout2004, 05-21 Permit: 04-322 ROW*lane
.0/Valley
Call 24 hours before inspection required
Phone 509.688-0195 Fax 509.688-0037
DEPARTMENT OF PUBLIC WORKS
Anticipated start date Permit # 04-322 Account #
ROW CONSTRUCTION' PERMIT
Location of property 11605 E. 7th Ct.
(Address/Parcel #, if available)
Applicant Name Paras Construction, Inc. Fax
Address 3124 S. Regal St. Spokane, Wa. 99223 Phone 509-535-8377
Contractor's Name
Address
Phone
Contractor's Reg.# PARASCI164KS Expires 4-19-2006
PROJECT DESCRIPTION (Provide site sketch or plan as necessary for clarity)
■ Driveway
❑ Gas Installation/Repair
❑ Sidewalk Repair/Construction
Other
Dimensions
USewer Connection
0 Curb & Gutter
Cable/Conduit/Pole
n Water Installation/Repair
DPavement Cut
ification must be on file with the Citv. Bond #
SPECIAL CONDITIONS: Construct driveway approach per Spokane County Standards as
adopted by the City of Spokane Valley.
See attached Provisions
Permittee Signature Approved 0-` —-nate-rr-Zl�J `{
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card #
Name of Holder
Signature
Expiration Date
Fees Paid$ 25.00 25.00 Date Inst
(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