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2009, 04-09 Permit App: 09000885 Approach Project'Number: 09000885 Inv: 1 Application Date: 4/9/2009 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RESIDENTIAL APPROACH Contact: SCHLABACH,ELDON F&SHARON L Address: 11712 E 36TH AVE C-S-Z: SPOKANE,WA 99206 Setbacks:Front Left: Right: Rear: Phone: (509)928-3015 Group Name: Site Information Project Name: Plat Key: 003146 Name: MIDILOME 01ST ADD District: Sout Parcel Number: 45331.1105 Block: Lot: SiteAddress: 11712 E 36TH AVE Owner:Name: SCHLABACH,ELDON F&SHARO Address: 11712 E 36TH AVE Location::CSV SPOKANE,WA 99206 Zoning: R-2 SF Res Suburban District Water District: 007 MODEL Hold: ❑ Area: 12,537 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: � �a��.. _ da Aw ,..a Review Driveway/Approach Released,By: Approach Contractor: WILLIAMS CONCRETE Firm: WILLIAMS CONCRETE SERVICE Address: 17829 E WASHINGTON RD Phone: (509)928-6863 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: 4/9/2009 Project'Number: 09000885 Inv: 1 Application Date: 4/9/2009 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary: _� xd, _ 00 _, _. .. .� 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. Signature: Operator: JD Printed By: JD Print Date: 4/9/2009 sits��r�0yes, Permit Center PERMIT NUMBER:CfiS"� a 11707 E Sprague Ave, Suite 106 .00,1*Valley Spokane Valley,WA 99206 PERMIT FEE: (509)688-0036 FAX: (509)688-0037 Community Development www.spokanevalley.org Approach Permit Application PROJECT ADDRESS 7 1 az r START DA J.E VC`1 9 cid ikNTICIPATED COMPLETION DA lib, Building Owner: Contractor: ^ / /4/R Name: /11/77 //-r SCIS / Name:Gt///JJ /44S' cloArd3i � Address: /17/a? 36 l "f Address:/70z / GJd9sy7i-„�1� i2� Ci 4k'4 '0 State: 4 Zip:9g2/ Ci State: al Zip: (/ Phone: 922— S Fax: Phone: 53._ Fax: Contact Person '/ Contractor Lic NoevC54C/Yftxp Date: Name: '57/17 / /1 �� City Business Lic.No:<Q 7 3 ' Phone: , t,.s 0,111 W//ety '9t-pRyie PROJECT DESCRIPTION (Provide site sketch) RI Residential Driveway 6? /260ery Commercial/Industrial Driveway Existing Curb&Gutter Rural Road Section Culvert Installation Sidewalk Repair/Construction Other Conditions ierldtii9 /Pefl-Picfrie-jr ')</S1 7-My Bond/Insurance certification must be on file with the city. DISCLAIMER Tht 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. Signatur1aDate / Method of Payment: ❑ Cash 0 Check ❑ Mastercard VISA Bankcard#: ��(Q 6 g l/— g3/ Expires: r vIN#: 0 57 Authorized Signature REVISED 3/9f06 oI . " Development Engineering alley 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: 11712 E. 36th Ave. Project No: 09000885 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. Sc‘i--Z-orwC_ Reviewed By: 1 a' / Date: y/9/0 f RECEIVED 04/08/2009 13:32 5096880037 SV PERMIT CENTERFR 04/Q8/2009 12:20 5097559000 MODERN ELECTRIC PAGE 01 Spokane . (Staff Use only) PERMIT NUMBER: 40,00Valley PERMIT FEE: CITY OF SPOKANE VALLEY Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley,WA 99206 Tel: (509) 688-0036 Fax; (509) 688-0037 9tormItcenter spkaneval�ev org RIGHT OF WAY ROW PERMIT APPLICATION r7r DRIVEWAY r PAVEMENT CUT (SEE BELOW) IN SIDEWALK P"I CURB &GUTTER OTHER ROAD OBSTRUCTION 2 NO YES ***TRAFFIC PLAN R - PROJECT ADDRESS:523 N MULLAN RD START DATE:4-13-09 ANTICIPATED COMPLETION DATE:4-14-09? BUILDING OWNER NAME:EMERY&SUSAN WOLD NAME: ADDREss:523 N MULLAN RD CXTY:SPOKANE VALLEY STATe:WA Zt PHONE: FAX: CELL: CONTACT NAME: PHONE: FAx: CELL: CONTRACTOR NAME:MODERN ELECTRIC WATER COMPANY MAILING ADDRESS:904 N PINES Ro CITY:SPOKANE VALLEY STATE:WA XIP!" PHONE: 509 928-4540 FAx; 509 755-9000 GEU,: CONTRACTOR LLCENS!No.: EXPIRES: CITY BUSINESS LICENSE NO,: TIER: POLICY: BOND/INSURANCE CERTIFICATE #: (PER SVMC TITLE ARTICLE 2) SIGNATURE: # DATE: L{-$.1991 p. Effective October 28,2007 Z:\Company Shared Folders\Maps and Records\Right of Way Applicatlpns\523 N Mullan Rd 4-13-09.,. RECEIVED 04108/2009 13:32 5096880037 SV PERMIT CENTERFR 040812009 12:20 5097559000 MODERN ELECTRIC PAGE 02 ****MUST BE COMPLETE IF PAVEMENT CUT**** Type of Work Condition of Cut Type of Existing Road Re•air Gas Sawcut As•halt De.th of As•halt: Grind (preapproved only) Concrete Depth of Gravel: •;... Water CATV Comm. Sewer Other Asphalt(width X length) Concrete(width X length) Locate Ticket#: X X X X X X X X X x - x x pISCLAIM Eft The permitted verifies,acknowledges and agrees by their signature that: t)if this permit Is for construction or on a dwelling, c_ be served by potable water. 2)Ownership of this City of Spokane Valley permit inure to the property owner, 3) The signet,ti. Owner or has permission to represent the property owner In this transaction, 4) All construction Is to be done in full compllan-' Spokane Valley Development code. Referenced codes are available for review at the City of Spokane Valley Permit Cen Spokane Valley permit is not a permit or approval for any violation or federal,state or local laws,codes or ordinances. 6) P. Information may be required to submitted and subsequently approved before this application can be processed. Signature Date: -g-Q°I Method of payment; ❑ Cash 0 Check 0 Visa ❑ Mastercard Eankcard #; EXP: VIN#: Authorized Signature: PLEASE FAX TO CITY OF SPOKANE VALLEY (509) 688-0037 UPON C!' Effective Ockober 29, 2007 Z:\Company Shared Folders\Maps and Records\Right of Way Applications\523 N Mullan Rd 4-13-09.do '- 1`• • • • • • M M 523 z p N R b N, MULLAN RD. PI R:1 •-1{40 • •1� _ IJr��m,�,�•. �•,(Y �r'`•.�4 oud ull`I"i1;is"yy� • N„ Mu 11 an Rd, IF £0 30bd 0I610313 Nd3QOW 000655L605 OZ:ZZ 6003/80/b0 66631N30 ±IN63d AS L£00889605 Z£:£Z 600Z/80/V0 Q3f1I3036 - ---- ---I a 4,,g l 'd 45 - -c" , ,, eteiii. ■ -1 - III - ,.-I-" 99036— -- 11 • / ' ie - _____ gicTo. 1!1111 - 1- 1 - - 4,11 111 al ______ --- eff/ ■ rif- _ —— a - ---- 3/ 4& ' - il dd ems'/ 'Tc e - 1 I -- L.__ _____ 1 X -1- I ______11 7_,ZZ ,_ . ____ __ --__pememiz/ , t. s k�y - w