2003, 08-26 Permit: BLD-03-02320 Reroof11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
RESIDENTIAL ADDITION/REMODEL PERMIT
Job Address: 2204 S BURNS RD
VERADALE WA 99037
Description: REROOF
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
HJORTEDAL, DONALD E
HENDERSON ROOFING
1330 S PINES RD
SPOKANE VALLEY, WA
HENDERSON ROOFING
1330 S PINES RD
SPOKANE WA 99207
Lot:
Permit #: BLD -03-02320
Applied: 08/26/2003
Issued: 08/26/2003
Expires: 02/22/2004
131k: Parcel No: 45261.2301
& CONST INC Phone: (509) 928-7254
99206
& CONST INC
Phone:
Lic No:
(509) 928-7254
HENDERC995MS
Zoning:
General Information:
VALUATION
REROOF
SERVED BY SEPTIC SYSTEM „.
WELLS LOCATED ON PROPERTY
4060
Y
no
no
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
11125
4.50
115.75
115.75
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 issued permit inure to the property owner.
Applicant
Please print name here
Date Counter Approval
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LICENSED • INSURED • BONDED • HENDERC995MS
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1003 S. PINES RD.
SPOKANE, WA 99206
PHONE (509) 921,-7254
FAX (509) 928-8020
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A. 99260
47 675
Fax: 477- ' 8
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Who should we contact regarding this project?
OWNER or OCCUPANT
Phone
RE -ROOF $ �--� ( 0 C'2-2
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Contractor
Henderson Roofing and Construction, Inc.
WA State Contractor License #
HENDERC995MS
Mailing address
1003 S. Pines Rd., Spokane, WA. 99206