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2009, 09-30 Permit App: 09003122 Driveway
Project Number: 09003122 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/30/2009 Page 1 of 2 Project Information: Permit Use: RESIDENTIAL DRIVEWAY Contact: DON TROTTER Address: 10006 E 20TH AVE C - S - Z: SPOKANE, WA 99206 Setbacks: Front Left: Right: Rear: Phone: (509) 924-0017 Group Name: Site Information: Project Name: Mink Plat Key: 001220 Name: HILLCREST PARK ADD Parcel Number: 45272.0909 Block: SiteAddress: 1723 S COLLINS RD Location:: CSV Zoning: R-4 SF Res Urban District Water District: 011 MODERN Hold: ❑ Area: .00 Acres Width: 90 Depth: 140 Right Of Way (ft): 0 Lot: District: Sout Owner: Name: CATLING, WALT Address: 1723 S COLLINS RD SPOKANE VALLEY, WA 99216 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Information:, Review Driveway/Approach Permits: Released By: Originally Released: 9/30/2009 By: WMCGAV Contractor: DON G TROTTER Address: 10006 E 20TH SPOKANE WA 99206 Item Description Approach Firm: DON G TROTTER Phone: (509) 924-0017 Units Unit Desc APPROACH -CONST 1N ROW 1 NUMBER OF Operator: jmm Printed By: JD Fee Amount $50.00 Permit Total Fees: $50.00 Print Date: 9/30/2009 Project Number: 09003122 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/30/2009 Page 2 of 2 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. Payment Summary: Permit Type Approach Fee Amount Invoice Amount $50.00 $50.00 $50.00 $50.00 Amount Paid $0.00 Amount Owing $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: jmm Printed By: JD Print Date: 9/30/2009 tiOkane► �� Valley Community Development Permit Center REQF�VED 11703 E Sprdgue Ave, Spokane Valley, W3S9l8RRMIT CENTER (509)688-0036 FAX: (50,20.1:8-,.07 www.spokarevalley.org 1TT Proje Approach Permit Applica PROJECT ADDRESS Submittal #4 /7z 3 .5. Co i/ J `04s PERMIT NU.JMBER.j'= 31 z,Z� PERMIT FEE: START DATE /Q - S 0 9 ANTICIPATED COMPLETION DATE /© -- 9-0 ? Building Owner: Contractor: Name: Z. CJ C 1./1 C CA 7" L d `.v Address: / 7 Z 3 Co //t�t/S City: 5t/,c jj . y State: W,4 Zip: Phone: 9 . se_ 3 / 9 s Fax: Contact Person L e.J C t `// e Namee CJo.V "TR o 77 Phone: 9 (, y S" 9 D PROJECT DESCRIPTION (Provide site sketch) Residential Driveway Existing Curb ac Gutter Culvert Installation Other Conditions Name: d 0 ,C,/ `%/�7 O 77-e %Z CO' ./ S 1— Address: /p 0 0 6 e - O �` City:.5 p a K.4 •,e State W J� Ztp: 9 92Q4 Phone: 9? s/ ,5" 9 o 9 Fax: 897- /VB Contractor Lic No: Exp Date: City Business Lic. No: Commercial/Industrial Driveway Rural Road Section Sidewalk Repair/Construction 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 DOA/ /efore this ap 9-8-C5' Method of Payment: LL Cash 141"....aeck [1 Mastercard ❑ VISA ❑ Other Bankcard #: Expires: VIN#: Authorized Signature: 6 A Tiz07Tie,2_ Effective October 28, 2007 Page 1 of 1 P:\Community Development\Forms\Building forms\Approach Permit eff 10-28-07.doc T Z 3 S Cotl�'�S E- 30'� x Go