2005, 06-22 Permit App 05002105 House MoveCall 94 .hours before inspection required
Phone 509.688-0195 Fax 509.688-0037
DEPARTMENT OF. PUBLIC WORKS
Cs -9-I os
Anticipated start date • < Permit #
6 / 3c es- -4- `7/-s7,r--
RO CONSTRUCTION PERMIT
Location of property
Applicant Name/kV/Id/GI -SAdor ss/Parcel #, if available)
/i ite cJ _iZ� Fax
Address / i
Contractor's Name A . W44gf
Phone
yyee' Tao
Address \SQ�til(L/
Phone
Contractor's Reg.# A6, (att l f 6 Expires �S rl17
PROJECT DESCRIPTION (Provide site sketch or plan as necessary for clarity)
Sewer Connection I 1 Driveway
111 Curb & Gutter Ei Gas Installation/Repair
Cable/Conduit/Pole
❑ Water Installation/Repair
nPavement Cut
I I Sidewalk Repair/Construction
Other
Dimensions
Bond/insurance certification must be on file with the City. Bond # 07/('7"Gle
Permittee Signatu
Approved
I hereby authorize the CiW'of Spokane Valley to charge the fee for this permit to my credit card.
Card # Expiration Date
Name of Holder
Fees Paid$
Signature
(Application) (Inspection)
Date !nit
Date
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
7 ,#1 - GARAGE MOVE
c_________
Sunday — June 26, 2005 — 9:30 a.m. i l
r (D
25' wide — long (ff4' inc. truck) )( loaded height
Route:
9407 E. Mission starting point
West on Mission to Mullen
North on Mullen to Knox
West on Knox to Vista
North on Vista to Euclid
West on Euclid to Ella
South on Ella to Rutter Way
West on Rutter Way to Coleman
North on Coleman to Coleman/Euclid(site)
Please sign, date and fax to 448-2720,
Comments:
Date
Page 2 of 4
#2 — HOUSE MOV'r;
Thursday — June 30, 2005 — 9:30 a.m.
28' wide — 31' long (50' inc. truck) — 20' loaded height
Route:
9407 E. Mission starting point
West
South
West
South
West
North
West
North
East
North
on
on
on
on
on
on
on
on
on
on
Mission
Vista
Cataldo
Dorn
Broadway
Park
Trent
Dollar
Rutter Way
Coleman
Please sign, date and fax to 448-2720.
to Vista
to Cataldo
to Dorn
to Broadway
to Park
to Trent
to Dollar
to Rutter Way
to Coleman
to ColemanlEuclid(site)
Comments:
Date
Page 3 of 4
7"
#3 - ADDITION move
fACceim
;- July 5, 2005 - 9:30 a.m.
r
20' wide -.2Q" ion g ( inc. truck) -Zit' loaded height
N'N-•Route:
ffpr
9407 E. Mission starting point
West
North
West
North
West
South
West
North
on
on
on
on
on
on
on
on
Mission
Mullan
Knox
Vista
Euclid
Ella
Rutter Way
Coleman
Please sign, date and fax to 448-2720.
to Mullen
to Knox
to Vista
to Euclid
to Ella
to Rutter Way
to Coleman
to Coleman/Euclid(site)
Comments:
Date
Page 4 of 4