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2008, 08-05 Permit App 08003018 Approachj�i Development Engineering 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: 1816 S. Felts Rd. Project No: 8-3018 Accepted Not Accepted Approach X Building Location Paved Access Notes: Reviewed By: Xel!, ,fi�i _r_J-- �— Date: W/01 Project Number: 08003018 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 8/4/2008 Page 1 of 2 Protect Information: Permit Use: ADD 3RD APPROACH Contact: LEXINGTON HOMES, INC. Address: PO BOX 141749 C - S - Z: SPOKANE WA 99214 Setbacks: Front Left: Right Rear: Phone: (509) 924-1519 Group Name. Site Information: Project Name Plat Key: 000375 Name: CHESTER TERRACE District: Sout Parcel Number. 45291.1021 Block: SiteAddress: 1816 S FELTS RD Location:: CSV Lot Owner: Name: MOTZNY, NICHOLAS A & SUSAN Address: PO BOX 141934 SPOKANE, WA 99214 Zoning: R-Z SF Res Suburban District Water District: 101 SPO CO WATER DIST#3B Area: 15,681 Sq Ft Width: 0 Depth: Nbr of Bldgs: 0 Nbr of Dwellings: 10 Review Information: Hold: ❑ 0 Right Of Way (ft): 0 Review Driveway/Approach Permits: Released Contractor: LEXINGTON HOMES Address: P 0 BOX 141749 SPOKANE, WA 99214 Item Description APPROACH-CONST IN ROW Approach Firm LEXINGTON HOMES Phone: (509) 924-1519 Units Unit Desc 1 NUMBER OF Permit Total Fees: Fee Amount $50.00 $50.00 Operator: JD Printed By: JD Print Date: 8/4/2008 Project Number: 08003018 Inv: 1 Application Date: 8/4/2008 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: Payment Summary: Permit Type Approach 12, Fee Amount Invoice Amount Amount Paid Amount Owine $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: 8/4/2008 8 ,1,11 Valley Community Development RECEIVED BY CITY OF SPOKANE VALLEY AUG 0 4 zoos Permit Center 11703 E Sprague AvF,,4ZWB Spokane Valle yr'.WA 09206 (509)688-0036 FAX: (509)688- 37 www.sookanevallev.org Approach Permit Application ;ENTER PERMIT NUMBER: PERMIT FEE: PROJECT ADDRESS START DATE ANTICIPATED COMPLETION DATE . Building Owner. Contractor. Name: Nre }AF)ins -Atlf(1 c)cAN 1100'2t tQV Address: (OZJ4 E iCk 1 Qt3 bfl„nt4r= 'Vc1-4.le / State: (Al A_ ZiP:96i2ITA Phone: Q71 ,-- L.& 1 Far Contact Person - Name: z-v4L \4, z. Phone: Q 2.4 Sig PROJECT.DESCftIPTION (Provide site sketch) rI Residential Driveway Existing Curb & Guuer Culvert Installation Name: P t� L22c1�Nq]N�,.,�� �v.k€-S'.Zf iC Address: Ikon fl cw1 uv City: IobnAIPse , State: LAMsdiAZip:Cfljj , Phone: lerici... 9 Fax ContractorkI t V t hl-1095�r1 Exp Date: cmos.— fit 0 City Business Lic. No: tryeri 14 Commercial/Industrial Driveway Rural Road Section Sidewalk Repair/Construction Other Conditions exlMrl\N9 Zt R-40 4Nd acld l4Pu1 alpf r©CAc 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. Date Method of Payment: D Cash 0 Check 0 Mastercard 0 VISA 0 Other Sankcard #: Expires: VINa: Authorized Signature: Effective October 28,2007 Pagel of l httpl/www.spokanevalley.org/uploads/Community_➢evelopment/Documents/FonnsBmlding/Approach Permit eff 10-28-07.doc m oSZi Fg? a�; A0 --z RECEIVED BY CITY OF SPOKP NE VALLEY AUG C 1= 2000 PERNIIT N"fER BY: i � f• QG�vnUJA-l' o F'�. d 11Y2-$