2007, 09-14 Permit App 07003649 Re-Roof30 5
Valley
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development
Reroof Construction
Permit Application
1 PERMIT FEE: I C % . G ]
PERMIT NUMBER:
n Commercial
® Residential
SITE l? ADDRESS: 17012 E. Indiana, Spokane, Valley, WA 99016
ASSESSORS PARCEL, NO:
Building Owner:
Name: Cindy Andrews
Address: 33401 N. Elk Chattaroy Rd
City: Chattaroy State: WA
zip: 99003
Phone: (509) 292-0499 Fax:
Contact Person
Name: Cindy Andrews
Phone: (509) 590-3833
Contractor:
Name: Dane Pelican Roofing
Address: 14601 N. Nevada St
City: Spokane State: WA zip: 99208
Phone: (509) 468-0525 Fax:
Contractor l,ic No:DANEPPR943KHI_xp Date: 5/08/08
City Business Lie. No: Application Pending (ck,/. (r(... (
Describe the scope of work in detail: IX1 Tear off Overlay
Tear off existing roof on house and garage, lay down 2 layers ice sheating,
apply 30 year laminate roofing.
Cost of project: $3,288.65
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. 6) Plans or
additional information may be required to be submitted, and subsequently approved before this application can be
processed.
Ownership of fesulting develo rneri9ights,granted by any issued permit inure to the propert owner.
Signature L�.t /%u / Date �� 7
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 8/232005
® Check
❑ Mastercard ❑ VISA
Expires: VIN#: