Loading...
1997, 10-14 Permit: 97008429 Plumbing Alteration-VoidSPO COUNTY -DIVISION OF BUILDING AND PLANNING , 1026 W. BRoADwAy • SpoKANE, WA 99260-0050 (509) 456-3675 Silk. INFORMATION PROJECT' INFORMATION SITE ADDRESS: 906 N BOWMAN RD SPOKANE WA 99212 PARCEL NUMBER: 35131.1154 SUBDIVISION: UNKNOWN LOT: 21 BLOCK: 4 ZONE: RMH INSPECTOR: FRANK PALADICHUK WATER DIST: OWNER: CRANE, MARGARET PHONE: 509 926 9969 ADDRESS: 906 N BOWMAN RD SPOKANE WA 99212 PROJECT NUMBER: 97008429 ISSUE DATE: 10/14/97 PERMIT USE: INTERIOR PLUMBING ALTERATION FOR SEWER HOOK-UP APPLICANT: H & S CONSTRUCTION PHONE: 509 926 7101 ADDRESS: PO BOX 7272 SPOKANE WA 99207 CONTACT: RANDY JACKSON PHONE: 509 926 7101 SETBACKS -> FRONT: NA LEFT: NA RIGHT: NA REAR: NA _ENDER NAME: PHONE: ADDRESS: PERMIT(S) PLUMBING PERMIT CONTRACTOR JACKSON PLUMBING LICENSE #: JACKSP*055NS WATER PIPING - DWV 1 PROCESSING FEE 25.00 MINIMUM FEE ADJUST ENT 4.00 TOTAL PERMIT FEE $35.00 ,k\c1 6.Alckac 10eLI_ e , PAYMENT SUMMARY NOTFS PAYMENT DATE RECEIPT# 10/14/97 00010326 TOTAL FEES AMOUNT PAID $35.00 $35.00 PAYMENT AMOUNT $35.00 AMOUNT OWING ISSUED PERMIT BY: JULIE SHATTO $.00 Pv# Dept VENDOR: H S CONSTRUCTION PO BOX 7 272 SPOKANE Vendor Contact/Tel LGFS PAYMENT DOCUMENT SPOKANE COUNTY AUDITOR PLAN SHIP TO: WA 99207 BILL TO: PV MV1125700C Change Order # Bid ID _ Blanket# RC# PO DATE: DELIVERY DATE: ENTERED BY: 1000 ENTEREC IN ERROR PRJ:: 97-8429 SITE: 9SSPOKANE N. BOWMAN 99212 DIST: "F" 40 030 00O tECEIVING RTIFICATION laterials dot IGN ITLE ,ATE 2420 230 ')3 PAYMENT CERTIFICATION that sufficient funds have been budgeted for this claim, the 4 the materials base sieved n furnished, , ser ices under penalty o lfabor perjury e claim is a jst, due and unpaid Obligati qn against Spokane County por�fund eag nye indicated above, that rein or tI am aracted s horiiedt tto authenticate ? and certify to said claim.-. ''Sf' TITLE OFFICE ADMINISTRATOR SIGNED DATE 12/01/97 PAGE TOTAL: DISCOUNT TOTAL: FREIGHT TOTAL: SALES TAX TOTAL: PURCHASE ORDER VALUE: USE TAX TOTAL: RAND TOTAL: :A9LE 33.00 0.00 0.00 0.00 35.00 0.00 3,.00 .00 TOTAL TO VINO R: TRAVEL CERTIFICATION u that this 1 hereby certify under penalty of perjury Is a true and correct claim for necessary expenses incurred by me and that no payment has been received by me on account thereof. SIGNED DATE TITLE . 00 PAGE _—--___