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2003, 06-27 Permit: BLD-03-02005 Tear Off, Reroof C7Tl E I Spakane .0,0.15'Valley RESIDENTIAL ADDITION/REMODEL 11707 E. Sprague Ave.,Suite 106 Spokane Valley,WA 99206 Permit#: BLD-03-02005 Job Address: 421 N SKIPWORTH RD Applied: 06/27/2003 SPOKANE WA 99212 Issued: 07/15/2003 Description: TEAR OFF/RE-ROOF Expires: 01/11/2004 Subdivision: Lot No: Owner: HANSON,THOMAS G&JUDITH K Applicant: N PERRENOUD ROOFING Phone: (509)994-6795 Address: 219 S HOGAN ST SPOKANE,WA 99202 Contractor: N PERRENOUD ROOFING Phone: Address: 219 S HOGAN ST Lic No: nperrr"99011 SPOKANE WA 99202 General Information: Fees: VALUATION 5115 BASIC PERMIT FEE 125.25 SERVED BY SEPTIC SYSTEM no WSBCC SURCHARGE 4.50 WELLS LOCATED ON PROPERTY no Total Calculated: 129.75 Deposits/Receipts: 129.75 Total Due: 0.00 Disclaimer: Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be in compliance. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Ownership of resulting development rights granted by any issued permit inure to the property owner. Applicant Date Counter Approval Please print name here THIS IS NOT A RECEIPT THIS IS NOT A PERMIT So< +I Penalties will be assessed for pokane% , commencing work without a permit ,,,,,.•'Walley RESIDENTIAL ADDITION/REMODEL 11707 E. Sprague Ave.,Suite 106 Spokane Valley,WA 99206 Application#: BLD-03-02005 Job Address: 421 N SKIPWORTH RD Applied: 06/27/2003 SPOKANE WA 99212 Issued: Description: TEAR OFF/RE-ROOF Expires: 12/24/2003 Subdivision: Lot No: Owner: HANSON,THOMAS G&JUDITH K Applicant: N PERRENOUD ROOFING Phone: (509)994-6795 Address: 219 S HOGAN ST SPOKANE,WA 99202 Contractor: N PERRENOUD ROOFING Phone: Address: 219 S HOGAN ST Lic No: nperrr*99011 SPOKANE WA 99202 .t t 7 General Information: ees: SERVED BY SEPTIC SYSTEM no Tota Calculated: 0.00 WELLS LOCATED ON PROPERTY no D-,•..its/Receipts: 0.00 Total P e: 0.00 1 ,,j\r-JI .\\ -\:).:Lj .._!)g) , ,\ .\ \ „4-d- „ \_,Iii ./X.) -----7' \ -))ijj \X. .,,.\t.)- ,7 sel, • 6 , )1/4\9, , / \,% \,\ 04 ),5- \i,,.'Y \\„.4t , ,)?, , k \ )k , THIS IS NOT A RECEIPT LICENSE DETAIL INFORMATION Form Page 1 of 2 4 STATE OF WASHINGTON DEPARTMENT OF LABOR AND INDUSTRIES Specialty Compliance Services Division P. O. Box 44000 Olympia, WA 98504-4000 THE RESULT OF YOUR INQUIRY FOR LICENSE NUMBER SELECTED IS: LICENSE DETAIL INFORMATION Current Filter: None Registration#or License NPERRR*990LL Name N PERRENOUD ROOFING Address 219 S HOGAN Address City SPOKANE State WA Zip 99202 Phone Number 5099946795 Effective Date 6/13/2001 Expiration Date 8/5/2004 Registration Status SUSPENDED Type CONSTRUCTION CONTRACTOR Entity INDIVIDUAL Specialty Code ROOFING Other Specialties SIDING UBI Number 602127629 'VIEW*VIEW CROSS REFERENCE FILE FOR THIS LICENSE* * * 'VIEW*VIEW PRINCIPAL OWNER(S) FOR THIS LICENSE* * * 'VIEW*VIEW CONTRACTOR BOND/SAVINGS INFORMATION * * * 'CHECK*CHECK INQUIRY FOR SUMMONS AND COMPLAINTS* * * * * * VIEW CONTRACTOR INSURANCE INFORMATION * * * New inquiry by CITY , NAME , PRINCIPAL OWNER NAME , LICENSE , UBI NUMBER, check the L&I Contractor Industrial Insurance Premium Status or return to the L&I Construction Compliance Home Page https://wws2.wa.gov/lni/bbip/TF2Form.asp?License=NPERRR*990LL 6/27/2003