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2015, 05-05 Permit ROW-2015-0235 Right of Way for SewerSpokane jValley,� City of Spokane Valley Community Development 11707 E. Sprague Ave., Suite 108 Spokane Valley, WA 99206 (509) 720-5240 permitcenterl@spokanevalley.org ROW-2015-0235 DE -ROW PROJECT NAME: ISSUED: 05/05/2015 SITE ADDRESS: 14301 E BROADWAY AVE SPOKANE VALLEY EXPIRES: PROJECT DESCRIPTION: SEWER CONNECTION AND CLEAN UP PARCEL: 45142.9251 APPLICANT: CARLSON, CLAYTON OWNER: CARLSON, CLAYTON 14301 E BROADWAY AVE SPOKANE, WA 14301 E BROADWAY AVE 99216-2027 SPOKANE, WA99216-2027 OWNER ACTING AS BUILDER: CARLSON, CLAYTON 14301 E BROADWAY AVE SPOKANE, WA99216-2027 License: OWNER Expires: FEES: Paid Due Right of Way $110.00 $0.00 Totals : $110.00 $0.00 CONDITIONS * " The traffic control plan submitted has been approved for concept only. The Contractor is responsible for determining specific signage and layout as required by the Manual on Uniform Traffic Control Devices (MUTCD), WSDOT specifications and Washington State modifications to the MUTCD. All devices shall conform to the MUTCD and WSDOT specifications. * For all permits that include road obstruction the Contractor shall notify the Spokane Valley Public Information Officer (PIO) at 509.720.5411 within 24 hours of receiving this approval. For any changes to the schedule of the road obstruction the Contractor shall notify the PIO of the change with a minimum of 48 hour notice prior to the road obstruction. The Contractor shall provide the location of the work, expected start and end times and dates of the road obstruction. The PIO will notify the newspaper, school districts, Spokane Valley Police Department, or fire dispatch as necessary. * The City of Spokane Valley may request changes as warranted by traffic conditions and motorist behavior. * If the construction zone is open to traffic before completion of final paving the Contractor shall provide warning signs, as required by the MUTCD and WSDOT specifications. * WSDOT Work Zone Traffic Control Guidelines are available at www.wsdot.wa.gov. For future submittals, please use the "Work Zone Traffic Control Plans (TC-1 — TC-18) if applicable to your project. * Prior to excavation, it is the Contractor responsibility to contact the purveyor of any transmission pipeline that is within 100 feet of permitted work, as per RCW 19.122.033. Printed by : Tamara Fauroton: 05/05/2015 04:09 PM Page 1 of 2 � Va11e a City of Spokane Valley Community Development 11707 E. Sprague Ave., Suite 108 Spokane Valley, WA 99206 (509) 720-5240 permitcenter(@.spokanevalley.org DE -ROW ROW-2015-0235 The ownership of a Spokane Valley Development Permit will inure to the property owner. The permit applicant, by definition, is the property owner or an authorized agent of the property owner. It is the responsibility of the applicant / permittee that the use described on the front of this permit complies with applicable codes and that required inspections are requested. Failure to request inspections as listed below and obtain the necessary approvals before progressing beyond the point where inspections are required and may necessitate removal of certain parts of the construction are the applicant's / permittee's or property owner's expense. Owner/Agent Date: - S� Staff Approval Date: Printed by : Tamara Fauroton: 05/05/2015 04:09 PM Page2of2