2013, 09-03 Permit App: BLD-2013-1754 ReroofKodiak Roofing Co Inc
This document originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuant to SOS DAN 652014-030.
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E COPY
Community Development Department
/ Permit Center
p®
fI n'tx 11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Valley
�7ey Tel:x (509)(509 688-0036-3
`,►/a 19 Fax:
15095331292 p.1
(Staff Use Only)
PERMIT NUMBER: PPA. -C, - -01
PERMIT FEE: t 6- -
REROOF CONSTRUCTION PERMIT APPLICATION
❑ COMMERCIAL
SITE ADDRESS: 11415 E Fairview
ASSESSORS PARCEL. NO.:
BUILDING OWNER NAME: Jim & Christy Stuchell
RESIDENTIAL
45- ORZ.IIIv
LEGAL DESCRIPTION
Project #)jl>PP-9O 3- (7 -
RECEIVED
NAME:
e.o ,9013
ADDRESS:
Cin: Spokane
STATE:WA
V A
CSVZEP99202T CENTER
PHONE:509-487-9910
FAX: 509-533-1292
CONTACT NAME:
SlJ .L ( ( I REV
PHONE: 509487-9910
FAX; 509-533-1292
CELL:
CONTRACTOR NAME:
MAILING ADDRESS: Kodiak Roofing Co Inc
Cm: Spokane
STATE: WA
Zip: 99202
PHONE: 509-487-9910 /
PAX:509-533-1292
CELL:
CONTRACTOR LICENSE No.: KODIARC000B$
EXPIRES: 08/31/14 CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
Rear off 2 layers and re -roof
Rear off 2 layers and re -roof
Tear Off / I�
TOTAL COST OF PROJECT: $ 4, 9 ((/ t OD
T
❑ Overlay
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) d this permit is for construction or on a d'welting, the 'swelling Is/will
be served by pota We water. 2) Ovmershlp or 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 Pem,it Center. 5) The City of
Spokane Valley permit is not a permit or approval for any violation of federal, state or fool taws, codes or ordinances. 6) Plans or additional
information may be required to be submitted and subsequently approved before this application can be processed.
Date: 09/03/2013
Signature
Method of payment: 0 Cash
0 Check
0 Visa
a Mastercard
EXF- REDAC Itu 't" ' REDACTED
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Effective October 28, 2007 Page 1 of 1
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Reroof Construction Permit App
10.28.07.doc
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