2004, 08-04 Permit: ROW-04-500 ROW •
•
Inspections performed 10 days after
x << scheduled completion to schedule call
`1* ,` (509)688-0195 or Fax(509)688-0037. Any re-
,_ „� inspection will incur an additional $25.00
( charge.
+, � " 11707 E Sprague Ave, Suite 106
I Spokane Valley,WA 99206
rte' ...
ROW Construction Permit
Permit# ROW 04-500 Issue Date 7/9/2004 Account#
Completion Date Issued by Ddompier Construction Utility
Location of Property Project Description
14005 E 8TH AVE driveway
Comments
PROVISIONS ATTACHED
Applicant HIGHMARK DEVEL
Contractor Name CRN # Individual Name
INDIVIDUAL
Address Contractor Phone#
Bond Origination Date Bond $ Account#
$0.00
Permit Fee Inspection Fee Total Fees Collected
$25.00 $25.00 $50.00
.14/
Permittee Signature Approved _. Date 3/1-7/,
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(112 hour)
minimum. Permittee signature constitutes an agreement to these terms and provisions.
Work completed satisfactorily(signed) Date
PERMIT MUST BE KEPT ON SITE