2004, 02-11 Permit: BLD-04-03537 Reroof Spokane
40000 Valley RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-03537
Job Address: 12702 E 33RD CT Applied: 02/11/2004
SPOKANE WA 99212 Issued: 02/11/2004
Description: REROOF Expires: 08/09/2004
Subdivision: Lot: Blk: Parcel No: 45342.0206 Zoning:
45342.0207
Owner: JACKSON, M F&T J
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 2800 BASIC PERMIT FEE 83.25
REROOF Y WSBCC SURCHARGE 4.50
SERVED BY SEPTIC SYSTEM no Total Calculated: 87.75
WELLS LOCATED ON PROPERTY no Deposits/Receipts: 87.75
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
I
‘,..? 1003 S. PINES RD.
and Cnnti7u --,, te-. 7. . r. c-, . SPOKANE,WA 99206
PHONE (509) S28-7254
-- -. LICENSED • INSURED • BONDED • HENDERC995MS FAX(509)928-8020
Spokane County Building Permit Center
1026 W Broadway
Spokane,WA. 99260
\ Fax: 477-7198
- -
What is JOB SITE address? 4. / ---S
OWNER or OCCUPANT / 1 /1
Who should we contact regarding this project?
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Phone
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RE-ROOF$ ,, c, PERMIT$ (
Contractor
Henderson Roofing and Construction, Inc.
WA State Contractor License#
HENDERC995MS
Mailing address
1003 S. Pines Rd., Spokane, WA. 99206