2008, 12-05 Permit App: 08004712 Approach Project Number: 08004712 Inv: I Application Date: 12/5/2008 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: APPROACH PERMIT Contact: DAVEY BOBCAT SERVICE • •
Address: 17310 E WASHINGTON RD
C-S-Z: VALLEYFORD WA 99036
Setbacks:Front Left Right: Rear: Phone: (509)291-6321 •
Group Name:
Project Name:
Site Information:
Plat Key: 000667 Name: EARLY DAWN ADD District: East , • • .
:Parcel Number: 45262.0724 Block: Lot: ,
SiteAddress: 14309 E 17TH AVE Owner:Name: JONES FAMILY REV LIVING TRU.
Address: 14309 E 17TH AVE
Location::CSV SPOKANE,WA 99216
Zoning: R-2 SF Res Suburban District ' - E
Water District: 010 VERA • Hold: !*.• !.:! 1:
- Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 50 A Of;
Nbr of Bldgs: 0 Nbr of Dwellings: 1 '•,' : • :
Review Information:
Review
Driveway/Approach Relea:sed .
Perm its:
Approach
Contractor: DAVEY BOBCAT SERVICE Firm: DAVEY BOBCAT SERVICE
Address: 17310 E WASHINGTON RD Phone: (509)291-6321
VALLEYFORD WA 99036
Item Description Units Unit Desc Fee Amount
APPROACH-CONST IN ROW 1 NUMBER OF $50.00
Permit Total Fees: $50.00
Operator: JD Printed By: JD Print Date: 12/5/2008
r
Project Number: 08004712 Inv: 1 Application Date: 12/5/2008 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes: .. � ,,......_... ... ... . . .. ...... .: .... .._. .-_� M A� ,. -
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 $50.00
$50.00 $50.00 $0.00 $50.00
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined.and finds•the information;..
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be • •
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of
'the'provisions of the code or of any other state or local laws or ordinances. "' t_
Signature:
Operator: JD Printed By: JD Print Date: 12/5/2008
agasoNf
• Spo` kane i Permit Center PERMIT NUMBER: Z
11703 E Sprague Ave,Suite B-3
.000Valley Spokane Valley,WA 99206 PERMIT FEE:
Community Development (509)688-0036 FAX:(509)688-0037
www.spokanevalley.org
Approach Permit Application
PROJECT ADDRESS /tie 3 o q r J 7i1-7
START DATE )14l16/iv,4 4'4 /D ANTICIPATED COMPLETION DATE 90,- /j
Building Owner: Contractor: Q t
Name: �"
�.a.>' 1n.✓a Name:
Address: 19 3, / •
�!'Address: /13, �- wa�5/ic,� O . /�/
C � � � llr State: h Zip:99706 City: �/v' wk State: Zip:7
Phone: 97 y 6 2-14 I Fax: Phone:
Contact Pelson 9 -C./(-.3 2-1
Contractor Lic No: Date: le- !v—o
`t Qave,y °.5 s DaL 141 9
Name:
, City Business Lic.No:
Phone:
PROJECT DESCRIPTION (Provide site sketch)
r _ - r
Residential Driveway Commercial/Industrial D 'tvevciay E
r( Existing Curb&Gutter Rural Road Section DEC O O 200
Culvert Installation Sidewalk Repair/Construction------.--
Other Conditions
Bond/Insurance certification must be on file with the city.
DISCLAIMER
The permittee verifies, acknowledges and agrees by their signatures that: 1) If this permit is for construction of 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) This 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 ofPaymentr
❑ Cash Check 0 Mastercard 0 VISA 0 Other
Bankcard#: Expires: VIN#:
Authorized Signature:
Effective October 28,2007
P:\Community Development\Forms\Building forms\Approach Permit eff 10-28-07.doc
CITY ` kane �, Development Engineering
Valley
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: 14309 E. 17th Ave.
Project No: 8-4712
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: `�/ , . , ,� Date: A>03
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