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
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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