2013, 03-05 Permit App: BLD-2013-0340 Tear Off, Reroof•
isar 0413 05:31p Kodiak Roofing
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COPY
Community Development Department
Permit Center
Spttt T ix 11703 East Sprague Avenue, Suite B-3
okane Spokane Valley, WA 99206
. ' Valley Tel: (509) 688-0036
Fax: (509)688-0037
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5095331292 p.1
(Staff Use Only)
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PERMIT NUMBER:: rf tl:J r "r —1
PERMIT FEE: le) 7 ii."''
REROOF CONSTRUCTION PERMIT APPLICATION
❑ COMMERCIAL ® RESIDENTIAL/
SITE ADDRESS: 1020 N. MacArthur, Spokane Valley WA 99206
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME: Kevin & Terry Quindlen
ADDRESS:D20 N MacArthur
cn,v: Spokane
110
This document originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuant to 505 DAN 652014-030.
STATE: WA
zip99206
PHONE: 509-342-2227
FAX: 509487-9910
CELL:
coNrAcr NAME: Kodiak Roofing Company Inc.
PHONE: 509-342-2227
Fax: 509-487-9910
CELL:
CONTRACTOR NAME: Kodiak Roofing Company Inc.
MAILING ADDRESS: 1504 E. Sprague
Clrv: Spokane
PHONE: 509-342-2227
STATE: WA
FAX: 509487-9910
hen 99206
CELL:
CONTRACTOR LICENSE No.: KQDIARC000B4
EXPIRES: 06/15
CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
Tear Off 0 Overlay
TOTAL COST OF PROJECT: $ 9046.00
DISCLAIMER
The perrnttted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction or on a
dwelling.
. the
dwelling teIs
will
The signatory
be served by potable water. 2) Ownership of this City of Spokane Valley permit inure to the property owner. 3) property
owner or has permission to represent the property owner in this transaction. 4) Alf construction is to be done in full compliance with the City of
Spokane -Valley Development code. Referenced codes are available for review at the Gay 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 IaCal laws, codes or ordinances. 6) Plans or additional
Information may be required to be submitted and subsequently approved before this application an be processed.
Signature Date:
Method of payment: 0 Cash
Bankcard #: REDACTED
Authorized Signature: f
2
ment
❑ Check
El l Visa ❑ Mastercard
EXP. REDACTED v1Na REDACTED
Effective October 28, Page 1 of 1
P:\Community Deve p \02 Adm inistration\03 Forms- Official Versions\Permit Center\Reroof Construction Permit App
10.28.07.doc