2004, 03-22 Permit: BLD-04-03835 Reroofnrs or
`*41,
Spod•e
.000 ' Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
RESIDENTIAL ADDITION/REMODEL PERMIT
Job Address: 15424 E 22ND AVE
VERADALE WA 99037-8333
Description: REROOF
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
SCHEFFER, ROBERT C & PATRICIA
Permit #: BLD -04-03835
Applied: 03/22/2004
Issued: 03/22/2004
Expires: 09/18/2004
Lot: Blk: Parcel No: 45261.3001 Zoning:
HENDERSON ROOFING & CONST INC Phone: (509) 928-7254
1330 S PINES RD
SPOKANE VALLEY, WA 99206
HENDERSON ROOFING & CONST INC
1330 S PINES RD
SPOKANE WA 99207
Phone:
Lic No:
(509) 928-7254
HENDERC995MS
General Information:
VALUATION
REROOF
COST OF PROJECT
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
4000
Y
4000
no
no
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
97.25
4.50
101.75
101.75
0.00
Disclaimer:
The permitee verifies, acknowledges and agrees by their signature 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.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
Print Name
Staff Initials
Signature Date
THIS IS NOT A RECEIPT
Henderson Roofing
and Construction, Inc.
_. LICENSED • INSURED • BONDED • HENDERC995MS
1003 S. PINES RD.
SPOKANE, WA 99206
PHONE (509) 928-7254
FAX (509) 928-8020
City of Spokane Valley
11707 E. Sprague Ave., Suite 106
Spokane, WA. 99206
921-1000
Fax: 921-1008
What is JOB SITE address?
OWNER or OCCUPANT
,./3—%,.;-7
"
Who should we contact regarding this project? )L7/C
',1,951_ 725 7"
RE -ROOF $
6/L
Phone
PERMIT $
'. 7S—
Contractor
Henderson Roofing and Construction., Inc.
WA State Contractor License #
HENDERC995MS
Mailing address
1003 S. Pines Rd., Spokane, WA. 99206