HomeMy WebLinkAbout2016, 03-17 Permit App: BLD-2016-0833 Re-Roof • .
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.....: ... ,Community Development Department '
Permit Center (Staff Use Only)
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Spokane Valley,WA 99206 PERMIT NUMBER. l '"' `l i i.
Tel: (509)688-0036
' Fax: (509)688-0037 PERMIT FEE:
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_ REROO F CONSTRUCTION PERMIT APPUICATIOlki
II COMMERCIAL la RESIDENTIAL
SITE ADDRESS:1119 N.BURNS ROAD,SPOKANE VALLEY,WA 99216
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:TED WILLIAMS
ADDRESS:1119 N.BURNS RD.
CITY:SPOKANE VALLEY STATE:WA Zip:99216
PHONE:509-294-6401 FAx: ceLL:
CONTACT NAME:FREDYORLOFF
PHONE:561-779-7858 FAX: CELL:
CONTRACTOR NAME:INFINITY ROOFING
MAILING ADDRESS:601 W. 1ST AVE.SUITE 1400
CITY:SPOKANE STATE:WA Zzp:99201
PHONE•509-594-4205 FAX:888-371-9080 CELL:
CONTRACTOR LICENSE No.:603-073-423 EXPIRES:11/23/16 CITY BUSINESS LICENSE
NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
RE-ROOF,26 SQ,5/12 PITCH,OWENS CORNING OAKRIDGE ESTATE GREY
Tear Off II Overlay
TOTAL COST OF PROJECT: $10,220.00
DISCLAIMER
The permitted verifies,acknowledges and agrees by their signature that: 1)if this permit is for construction or on a dwelling,the dwelling is/will
be served by potable water. 2)Ownership of this City of Spokane V lel-pEfmtl-tr?t F o the property owner. 3) The signatory Is the property
owner or has permission to represent the property owner in this t section. 4) All con on Is to be done in full compliance with the City of
Spokane Valley Development code. Referenced codes are aval ble for review at the City o kane Valley Permit Center. 5) The City of
Spokane Valley permit is not a permit or approval for any violet n of fed al, state or local laws, des or ordinances. 6) Plans or additional
information may be equired to be submitted -•• bsequently ap oved befo h application can t+ rocessed.
Signatu I II) ri s
Da a:3/17/16
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Updated 1-11-11 Page 1 of 1
C:\Users\Derek\Desktop\Spokane Valley Permit app.doc
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0."41 11707 E. Sprague Ave., Suite 108
Spokane Valley, WA 99206 Receipt Number: 201600855
40/• \alley (509)720-5240
J permitcenter@spokanevalley.org
Payer/Payee: INFINITY ROOFING Cashier: CART HINSHAW Date: 03/17/2016
505 UNION AVE SE STE 120 Payment Type: CREDIT CARD
OLYMPIA WA 98501
BLD-2016-0833 REROOF PERMIT 1119 N BURNS RD
Fee Description Fee Amount Amount Paid Fee Balance
Building Permit $195.25 $195.25 $0.00
Washington State Building Code Council Surcharge $4.50 $4.50 $0.00
BLD-2016-0833 TOTALS: $199.75 $199.75 $0.00
TOTAL PAID: $199.75
Printed 03/17/2016 10:20:00 by Can Hinshaw Page 1 of 1