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HomeMy WebLinkAbout2013, 09-25 Permit App: BLD-2013-1944 Tear Off, Reroof Kodiak Roofing Co Inc 15095331292 p.1 -?01,5 1 q44 Community Development Department 0 Permit Center (Staff Use Only) SOOTliane 11703 East Sprague Avenue,Suite B-3 Spokane Valley, WA 99206 PERMIT NUMBER: Valley Ta (509) 688-0036 Fax: (509) 688-0037 PERMIT FEE: 41• permitcenter@seokanevallev.orcl _ REROOF CONSTRUCTION PERMIT APPLICATION D COMMERCIAL © RESIDENTIAL SITE ADDRESS: 14010 E. Valleyway i ._-.w ....... ,...-,_.,._ . ..._..,a.z______.._.. ASSESSORS PARCEL NO.: LEGAL DESCRIPTICIIhi—ect 4 _ ('1J--/q /// , L BUILDING OWNER NAME: Diane Albers p F r FR/F n I NAME: --___,�,js.P / 5 ?ui13111� kt:+ ADDRESS: cm: Spokane STATE:WA i CSV PEfike, 929ONTER I PHONE: 7 Pz F'� w ��� 509-487-9910 FAx: 509-1292 I S UU E i�LL: — CONTACT NAME: PHONE: 509-487-9910 FAx: 509-1292 CELL: CONTRACTOR NAME: MAILING ADDRESS: Kodiak Roofing Co. Inc P Cin: Spokane STATE: WA Zip: 99202 PHONE: 509487-9910 FAX: 509-1292 CELL: CONTRACTOR LICENSE No.: KODIARC000B4 ExPIREs: 01/14/2014 cm BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: Two Layer Tear off Re-roof Two Layer Tear off Re-roof 0 Tear Off 0 Overlay TOTAL COST OF PROJECT: $ 6220.00 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 Valley permit Inure to the property owner. 3) The signatory Is the property owner or has permission to represent the property owner In this transaction. 4) All construction Is to be done In full compliance with the City of Spokane Valley Development code. Referenced codes are available for review at the City 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 local laws,codes or ordinances. 5) Plans or additional Information may be required to be submitted and subsequently approved before this application can be processed. Signature Date: Method of payment: ❑ Cash 0 Check 0 Visa 11 Mac*.ercard Bankcard #: O EXP: ` .. •-r VIN#: This document originally contained Authorized Signet• rnnfidential rre,fit rard infnrmatinn whirh t.1 ���""^^`" was redacted pursuant to RCW 19.255.010 and the original document destroyed p'u'a^t to cOc DAN G52014-030 Page 1 of 1 Effective October 28, 2007 P:\Community Development\02 Administration\03 Forms -Official Versions\Permit Center\Reroof Construction Permit App 1028.07.doc