2004, 02-02 Permit: BLD-04-03490 Reroof cert or /•�
Spol�ane
.00,0Valley RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E.Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-03490
Job Address: 1815 S VERA CREST DR Applied: 02/02/2004
VERADALE WA 99037 Issued: 02/02/2004
Description: REROOF Expires: 07/31/2004
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: BELFOR
Applicant: HENDERSON ROOFING&CONST INC Phone: (509)928-7254
Address: 1330 S PINES RD
SPOKANE VALLEY,WA 99206
Contractor: HENDERSON ROOFING&CONST INC Phone: (509)928-7254
Address: 1330 S PINES RD Lic No: HENDERC995MS
SPOKANE WA 99207
General Information: Fees:
VALUATION 2500 BASIC PERMIT FEE 83.25
REROOF Y WSBCC SURCHARGE 4.50
COST OF PROJECT 2500 Total Calculated: 87.75
SERVED BY SEPTIC SYSTEM no Deposits/Receipts: 87.75
WELLS LOCATED ON PROPERTY no
Total Due: 0.00
Disclaimer:
The permitee verifies,acknowledges and agrees by their signature that: 1)If this permit is for construction of 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) This City of
Spokane Valley Permit is not a permit or approval for any violation of federal,state or local laws,codes or ordinances.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
Print Name Signature Date
Staff Initials
THIS IS NOT A RECEIPT
Henderson Roc
1003 S. PINES RD.
and Construction , Irwc . SPOKANE,WA 99206
__ PHONE (509) 926-7254
- _, LICENSED • INSURED • BONDED • HENDERC995MS FAX(509) 928-8020
S a okane : n Buildin =•rmit Center
102• Bro. .wa
Spokane x:. 99260 ,
7-367
ax: 477-7198
What is JOB SITE address? /i,,,Ji'r S 14.,
Kr_,„-- AR.
OWNER or OCCUPANT
Who should we contact regarding this project? (--7Th
Us�i.�
Phone c1,
RE-ROOF$ PERMIT$
Contractor
Henderson Roofing and Construction, Inc.
WA State Contractor License#
HENDERC995MS
Mailing address
1003 S. Pines Rd., Spokane, WA. 99206