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2004, 10-21 Permit App BLD-04-08002 Re-RoofHenderson Roofing and Construction, Inc. LICENSED • INSURED • BONDED • HENDERC995MS 1003 S. PINES RD. SPOKANE, WA 99206 PHONE (509) 928-7254 FAX (509) 928-8020 City of Spokane Valley 11707 E. Sprague Ave., Suite 106 Spokane, WA. 99206 921-1000 Fax: 921-1008 What is JOB SITE address? 752/ % Se-onvoy/ OWNER or OCCUPANT /% ,2 / CCC ✓ Who should we contact regarding this project? Dlly�Ly Phone gat .7as-y RE -ROOF $ 3/sa PERMIT $ /.0/-7s� Contractor Henderson Roofing and Construction, Inc. WA State Contractor License # HENDERC995MS Mailing address 1003 S. Pines Rd., Spokane, WA. 99206