2013, 09-12 Permit App: BLD-2013-1837 Tear Off, ReroofKodiak Roofing Co Inc
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 6B8 -D037
15095331292
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REROOF CONSTRUCTION PERMIT APPLICATION
❑ COMMERCIAL
SITE ADDRESS: 13310 E Cataldo
❑® RESIDENTIAL
)151.00-o
ASSESSORS PARCEL NO.:
BUILDING OWNER NAME:
LEGAL DESCRIPTION:
vroject
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NAME: Duane Franklin
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ADDRESS:
Cry: Spokane
PHONE: 509-487-9910
STATE: WA I
FAX: 509-533-1292
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CONTACT NAME: Kodiak Roofing Co Inc
PHONE: 509-487-9910
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F*,c 509-533-1292 CELL:
CONTRACTOR NAME: Kodiak Roofing Co Inc
MAILING ADDRESS: 1504 E Sprague
cm: Spokane
STATE: WA
zip: 99202
PHONE: 509-487-9910
FAX: 509-533-1292
CELL:
coNTRACTORLICENSE No.: KODIARC000B4
ExPIREs: 01/2014
CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
1 layer tear off re -roof GAF Timberline HD LT
1 layer tear off re -roof GAF Timberline HD LT
Q Tear Off 0 Overlay
TOTAL COST OF PROJECT: $ 7210.00
DISCLAIMER
The permitted verifies, acknowledces and agrees by their signature that: 1) if this permit is for construction 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 cote. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley permit is not a permit or approval far any violation of federal, state or local Taws, codes or ordinances. 5) Plans or addt)onal
Information may be required to be submitted and subsequently approved before this application can be processed.
Signature
Date: 09-12/13
Method of payment: 0 Cash ❑ Check
Bankcard #:
❑ Visa 0 Mastercard
Exp: 01/2014 VIN#:
Authorized Signature:
Effective October 25, 2007 Page 1 of 1
P:\Community Development \02 Administration\03 Forms - Official Versions\Permit Center\Reroof Construction Permit App
10.28.07.doc