2009, 04-27 Permit App: 09001135 Tear Off, ReroofSp®%an e
Valley
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
perm itcenter@spoka nevalley. orq
(Staff Use Only)
PERMIT NUMBER:11�1 I c
PERMIT FEE:Iths1 (I ,—
REROOF CONSTRUCTION PERMIT APPLICATION
COMMERCIAL rEl RESIDENTIAL
SITE ADDRESS:14215 E. CATALDO
ASSESSORS PARCEL NO.:45142.3509 LEGAL DESCRIPTION:
BUILDING OWNER NAME:DOWNIE, WILLIAM R
NAME:DOWNIE WILLIAM
ADDRESS:14215 E CATALDO
CITY:SPOKANE VALLEY—
STATE:WA 'ZIp:99216
PHONE:924-6463
FAX: CELL:
CONTACT NAME:DAVID HANSON
PH0NE:509-838-0424 Fax:509-838-0324 CELL:509-939-5626
CONTRACTOR NAME:HANSON CARLEN CONSTRUCTION CO
MAILING ADDRESS:112 S. MONROE
CITY:SPOKANE
STATE: WA
ZIP:99201
PHONE:509.838.0424
FAX:509.838.0324
CELL:
CONTRACTOR LICENSE No.:HANSOCC978RT`
LICENSE NO.: (,CZ 337 D tv
EXPIRES:12/30/09 CITY BUSINESS
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
REMOVE ROOFING AND INSTALL NEW ROOFING AND HOUSE SIDING
►1
Tear Off
TOTAL COST OF PROJECT: $8263.00
Overlay
DISCLAIMER
The permitted verifies, acknowledges 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 code. 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 for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be required to be submitted and subsequently approved before this application can be processed.
Signature Date:
Method of payment: ❑ Cash - - - - - RA Check
Bankcard #:
❑ Visa ❑ Mastercard
EXP: VIN#:
17/ LC
Authorized Signature:
Effective October 28, 2007
HC Mac 1:Users:davidhanson: Downloads:Reroof Construction Permit App.l.doc
Page 1 of 1