2003, 07-01 Permit: BLD-03-02011 ReroofSlioliane`
Val ley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
RESIDENTIAL ADDITION/REMODEL
Job Address: 13019 E 23RD AVE
SPOKANE WA 99216-0302
Description: RE -ROOF
Subdivision: Lot No:
Owner:
Applicant:
Address:
Contractor:
Address:
WALKER, R R
HENDERSON ROOFING
1330 S PINES RD
SPOKANE VALLEY, WA
HENDERSON ROOFING
1330 S PINES RD
SPOKANE WA 99207
& CONST INC Phone: (509) 928-7254
99206
& CONST INC
Phone:
Lic No:
(509) 928-7254
HENDERC995MS
Permit #: BLD -03-02011
Applied: 07/01/2003
Issued: 07/01/2003
Expires: 12/28/2003
General Information:
VALUATION
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
3705
no
no
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
19.45
97.25
4.50
121.20
121.20
0.00
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 goveming this type of work will be in
compliance, 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.
Ownership of resulting development rights granted by any issuii10 the property owner.
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Applicant
Please print name here
Date ounter Approv
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LICENSED • INSURED • BONDED • HENDERC995MS
1003 S. PINES RD.
SPOKANE, WA 99206
PHONE (509) 92&-7254
FAX (509) 928-8020
S
What is JOB SITE address?
OWNER or OCCUPANT
untv Building Pe
10 • Bro.• a
S s okan ` ` 60
477-3675
Fax: 477-7198
Center
/3z/Y Z 23'4"
1/-ffricot
Who should we contact regarding this project?
RE -ROOF $ ,7 7G' )--
Phone
7 V.
PERMIT $ 42/-
Contractor
Henderson Roofing and Construction. Inc.
WA State Contractor License #
HENDERC995MS
Mailing address
1003 S. Pines Rd., Spokane, WA. 99206