2004, 05-27 Permit App: BLD-04-04458 ReroofCITY Or ���
Spokane
4.0. Va11ey
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
RESIDENTIAL ADDITION/REMODEL
Job Address: 1220 S MICA PARK DR
SPOKANE VALLEY WA 99206
Description: RE -ROOF
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
Lot: Blk:
MCKINNON, J F
HENDERSON ROOFING & CONST INC
1330 S PINES RD
SPOKANE VALLEY, WA 99206
HENDERSON ROOFING & CONST INC
1330 S PINES RD
SPOKANE WA 99207
Application #: BLD -04-04458
Parcel No:
Phone: (509) 928-7254
Phone:
Lic No:
(509) 928-7254
HENDERC995MS
Applied:
Issued:
Expires:
Zoning:
05/27/2004
11/23/2004
General Information:
VALUATION
REROOF
COST OF PROJECT
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
3500
Y
3500.00
no
no
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
97.25
4.50
101.75
0.00
101.75
THIS IS NOT A RECEIPT
-26-2004 04:22 PM HENDERSON ROOF 1 Nle INU e 7 7.ers zsn�n
Henderson Roofing
and Construction, Inc.
LICENSED • INSURED • BONDED • HENDERC995MS
1003 S. PINES RD.
SPOKANE, WA 99206
PHONE (509) 928-7254
FAX (509) 928-8020
City of Spokane Valley
11707 E. Sprague Ave., Sulte 106
Spokane, WA. 99206
921-1000
Fax: 921-1008
What is JOB SITE address?
OWNER or OCCUPANT /1c/ �0P-/
Who should we contact regarding this project?
Phone
7p- Z2./
RE -ROOF $ 352,0 PERMIT $ /li/
Contractor
Henderson Roofing and Construction, Inc.
WA State Contractor License #
HENDERC995MS
Mailing address
1003 S. Pines Rd., Spokane, WA, 99206