2001, 01-31 Permit: 00011256 RefundVendor ID NORCHEAI
Voucher ID 00074333
Rel Vchr ID
Dept ID
VENDOR:
Norco Heating & Air Conditioning, Inc.
5103 E Trent Ave
Spokane
Vendor Contact/Tel
WA 99212
SPOKANE COUNTY PAYMENT DOCUMENT
SPOKANE COUNTY AUDITOR
SHIP TO:
BILL TO:
PAGE 1 OF 1
RC#
INV# 00-11256
ENTERED DATE : 01/31/2001 PO DATE:
LINE NO.
DESCRIPTION
ENTERED BY: Patty Eickstadt
INV ITEM ID
BUYER:
PURCHASING DIRECTOR: BELA G. KOVACS
QUANTITY
UNIT
UNIT PRICE
EXTENDED AMOUNT
1
PO#
CHG ORD#
PO LINE#
PO SCHED#
CONTRACT#
100% - REFND'D - PRJ# 00-11256
0
0
1.0000
LOT
0
0.00
36.00
LINE NO.
DISTRIB LINE
ACCOUNT
FUND
ORG
PROGRAM
SUB -CLS
RPT CAT
B. YR
PC UNIT
PAY THIS AMOUNT
PROJECT
ACTIVITY
RES. TYPE
CATEGORY
SUB CAT
AM UNIT
PROFILE
ASSET FLG
ASSET ID
1
BACE
1
240
221007
406
REFND
0300008
Comments: 100% REFUNDED - DUPLICATE WITH PERMIT # 00-11357
SITE LOCATION: 8021 E. BUCKEYE AVE.,; SPOKANE
WA 99212
2001 PROJA
DISCOUNT TOTAL:
FREIGHT TOTAL:
SALES TAX TOTAL:
SUBTOTAL:
USE TAX TOTAL:
GRAND TOTAL:
TOTAL TO VENDOR:
N
36.00
0.00
0.00
0.00
36.00
0.00
36.00
36.00
RECEIVING CERTIFICATION
Materials noted in quantity * have been received in good condition or
contracted for.
4?)(41(
SIGNED
DATE 01/31/01 TITLE ACCT TECH 3
PAYMENT CERTIFICATION
I, the undersigned do hereby certify under penalty of perjury that sufficient funds have been budgeted
for t
herein
or fund ag
SIGNED
aterials have been furnished, services rendered or labor performed as described
the claim is a just, due and unpaid obligation against Spokane County
am authorized to authenticate and certify to said claim.
DATE 01/31/01 TITLE OFFICE ADMINISTRATOR
TRAVEL CERTIFICATION
I hereby certify under penalty of perjury that this
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
Project Receipt Summary Wednesday, January 31, 2001 Page 1 of 1
Address 8021 E BUCKEYE AVE
SPOKANE WA 99212
Owners Name: BENNETT, JACK
Address: 8021 E BUCKEYE AVE
SPOKANE, WA 99212
Occupant:
Applicant: NORCO HEATING
PROJECT#: 00011256
Phone: (509) 926-4373
Phone:
Phone: (509) 534-4975
Use: GAS LOG AND PIPING *** CANCELLED 1/31/01 PAP***
Application Date: 12/20/00 Permit Issue Date: 1/3/01
Receipt Nbr: 56
Acct Account
Description
00410 MECHANICAL PMTS
Receipt Nbr: 529
Acct Account
Description
00410 MECHANICAL PMTS
AMOUNT REFUNDED
Transaction Date/Time: 1/3/01 12:56:13 PM
Transaction
P
Total Due
$36.00
$36.00
Transaction Date/Time: 1/31/01 10:40:00 AM
Transaction
R
Total Due
$0.00
Amount Paid
$36.00
$36.00
Amount Paid
$36.00
Total Delo deet 33600
Dae ID: PPS N2433 Erciatiaa Date:
Reason: D6PUC/.TE PRNT W/100-1135?. PAP
(836.00)
f�T�Pp(T1p "•i RpedNaado 070112%.`.11 ;= N ,GEORGE RAEN.E
.l 6taq: Aand Nass:
J
-`: RatNDt Mr 1, TMTSVR Ref sO Nw0N6NEf
Md. 4.1' 1. WM1-1ll61.PAP
RTransachon Detail _
ifYadtantWA ••.laf.8!1lRMl M'
2
SaOrD YFSRYa
X
N0 Oab)1TsagEgniaM6Era Dara 10 f£x*Na TM THe �isfnd
r ; - _ �4 .%' • ;=: x' arTindv'iw^flx '„ .., f§"3, ir�>>,
7rasattisrOaLt
. ,:,;:".
7,
3 3?% i2 bleb. '•FM!Y% _:, ;t
a 18011255 2 NERWNI"Jd. FNTS 636 001 i,
fjt! : .'"'�",�.._Ps ID •'are(2 t ,
KGukiY PPS 1?e33 Ii36HR1
NM Tended 836.001
1 Talar ' 836 NN
'wig LTaa➢a: tO.W y'
:. < Nat TsdseC 1136 011
ATE PONT VII /81139
PAP
;- _... _ ,
;, ..= :'^ � : •' S :' a TaUTNitc
TMDrWBNmk
Net lTawdiac 336.1H^
1'. {Ntt
Qualify for 40 Yrs.
NO OVERTIME CO.
Norco
- HEATING & AIR CONDITIONING INC. -
PHONE (509) 534-4975 (208) 664-0803
FAX (509) 534-1572
EAST 5103 TRENT AVENUE
SPOKANE, WASHINGTON 99212
January 2P, 200:
Spokane County Division of Building ct Code Enfatement
Attn: Permit dept
1026 W. Broadway Ave
Spokane, WA PP260-0050
To Whorn It May Concern:
RECEIVED
SPOKANE COUNTY 4
JAN 3 0 2001
3IJILD;NG AND CODE ENFORCEMENT
Please cancel the enclosed permit for customer Jack Bennett_ We applied for this permit twice by mistake;
the criginal permit number is (X,01 1357.
Thank you,
2o
Terri L. Holt
Bookkeepe-
Enclosure
SPOKANE COUNTY DIVISION OP BUILDING AND CODE ENFORCEMENT
4026 WEST
BROADWAY AVENUE . SPOKANE, WA 99260-0050
(509) 477-3675
Site Address:
Parcel Number:
Subdivision:
Block:
Zoning:
Owner:
Address:
Inspector:
Water Dist:
SITE INFORMATION
8021 E BUCKEYE AVE
SPOKANE, WA 99212
45072.4603
ORCHARD AVENUE ADD REPLAT
Lot:
UR -7 Urban Residential -7
BENNETT, JACK
8021 E BUCKEYE AVE
SPOKANE, WA 99212
GEORGE KRIENKE
PROJECT INFORMATION
Project Number: 00011256 Inv:
Permit Use: GAS LOG AND PIPING
Applicant: NORCO HEATING
5103 E TRENT
SPOKANE, WA 99212
Contact: NORCO HEATING
5103 E TRENT
SPOKANE, WA 99212
1 Issue Date:
1/3/01
Phone: (509) 534-4975
Phone: (509) 534-4975
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
PERMIT(S)
Mechanical Permit
Contractor: NORCO HEATING & AIR COND INC
License #: NORCOHAI7ORZ
PROCESSING FEE
GAS LOG OR GAS INSERT
$25.00 GAS PIPING
1 $10.00
Total Permit Fee:
$1.00
$36.00
PAYMENT SUMMAR
Page 1 of 1
NoTEs
REPRINT Processed By: C 111 S, KATHY
Printed By: SCHNE U R, PENNY
Tran Date Receipt # Pa v ent Amt
1/3/01 56 $36.00
Total Fees AmountPaid AmountOwing
$36.00 $36.00 $0.00