RE-ROOF PERMIT APPLICATION

SITE AND PROJECT DATA

Project Type:

Commercial

Residential

* Manufactured Home re-roofing permits are issued through the Department of Labor & Industries.

Please contact L&I directly at 800-705-1411 Option 3 or visit the L&I website lni.wa.gov. *

Description of Work - Please Include New Roof Type:

Roof Type:

Composition

Wood Shake/Shingle

Metal

Tile

Other

If Other Please Specify:

Valuation of Proposed Project:

Parcel Number:

Plat/Development:

Lot Number:

Property Owner's Phone Number

Property Owner's Email Address

Is the Applicant someone other than the property owner?

Yes

Applicant Phone Number

Applicant Email

ALL INSPECTION RESULTS SHALL BE EMAILED TO:

Contractor:

Upload Review Documents:

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Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Any changes will be reported to the jurisdiction in which the permit is valid immediately. By leaving the contractor information section blank, I hereby certify further that contractors (general or subcontractors) will not be hired to perform any work in association with this permit. I also certify that if I do choose to hire a contractor (general or subcontractor) I will only hire those contractors that are licensed by the State of Washington.

Signer:

Owner

Agent

Contractor