1997, 12-16 Permit: 97004787 RefundVENDOR:
INLAND TRADING
1727 W PINTO AVE
SPOKANE
Vendor Contactlrel
WA 99207
SHIP TO:
LGFS PAYMENT DOCUMENT
SPOKANE COUITTY AUDITOR
Confirming Order
BILL TO:
PV MV121570004
Change Order #
Bid ID
Blanket#
RC#
VI#
FOB:
ACCTG. PERIOD: 1 2/ 97
COMMENTS:
COMM LN#
DESCRIPTION
PO DATE:
DELIVERY DATE:
ENTERED BY:
BLDG/ROOM:
WAREHOUSE:
PATRICIA EICKSTADT
BUYER
PURCHASING DIRECTOR: _DEIN fl 1 t A R R F C Q U F
COMMODITY NO
REF ACCT LINE
80%1 CANCELLED, PRJ :97-4787
SITE:
DIST: "H"
2604 N ELLA RD
SPOKANE WA 99206
QUANTITY
UNIT
UNIT PRICE
TOTAL PRICE
PAGE TOTAL:
DISCOUNT TOTAL:
FREIGHT TOTAL:
SALES TAX TOTAL:
PURCHASE ORDER VALUE:
USE TAX TOTAL:
GRAND TOTAL:
4.50
110.29
114.79
0.00
0.00
0.00
114.79
0.00
114.79
LINE NO.
01
N20
0? 406
AGCY
ORG
675
030 0008
SB ORG
ACT
2'420
OBJ
SB OBI
REV SRC
SB REV
RPT CAT
BS ACCT
JOB NO,
PAY THIS AMOUNT
P/F
2210
07
3700
TOTAL TO VENDOR:
4.50
110.29
114.79
RECEIVING CERTIFICATION
Ma erials not, . quanti ✓ have been
rec=t ed in :•• ernditir or cgntrracted f../
SIGNElarflert ‘72
TITLE
DATE
ACCT TECH 3
12/16/97
PAYMENT CERTIFICATION
1, the LWensign• • ereby certify under penalty of perjury that sufficient funds have been budgeted for this claim. the
_ materijiiss have been fu ed, ser 'ces rendered or labor performed as described herein or contracted for, that the claim is
a just. dtie and unpaid ob=: tip against Spokane County or fund agency Indicated above, that 1 am authorized to authenticate
and certifyo said cls
DATE 12/16/97
TITLE
OFFICE ADMINISTRATOR
ACCOUNTS PAYABLE
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 I I'ILE
DATE
PAGE
SPOKANE COUNTY DIVISION OF BUILDING AND PLANNING
1026 W. BROADWAY • SPOKANE, WA 99260-0050
(509) 456-3675
J
SITE INFORMATION
PROJECT INFORMATION
SITE ADDRESS: 2604 N ELLA RD
SPOKANE WA 99206
PARCEL NUMBER: 45072.6003
SUBDIVISION: ORCHARD AVENUE ADD (TR.1-228)
LOT: BLOCK: 194 ZONE: UR 7
INSPECTOR: GEORGE KRIENKE
WATER DIST:
OWNER: HITCHCOCK, DEAN
PHONE: 509 926 3031
ADDRESS: 2604 N ELLA RD
SPOKANE WA 99206
PROJECT NUMBER: 97004787 ISSUE DATE: 07/03/97
PERMIT USE: STORAGE SHED
APPLICANT: INLAND TRADING
PHONE: 509 459 3420
ADDRESS: 1727 W SINTO AVE
SPOKANE WA 99207
CONTACT: INLAND TRADING PHONE: 509 459 3420
SETBACKS -> FRONT: NA LEFT: 50 RIGHT: 30 REAR: 13
LENDER NAME:
PHONE:
ADDRESS:
PERMIT(S)
BUILDING PERMIT
CONTRACTOR
INLAND TRADING CO. INC.
LICENSE #: INLANTC066NK
NEW BUILDING
DIM.= 20 X 24 1 STORIES
SO FT = 470
STORAGE U-1 VN 480
TOTAL VALUE: 35,760.00
RESIDENTIAL VALUATION 113.00
RESIDENTIAL SURCHARGE 24.86
STATE SURCHARGE 4.50
TOTAL PERMIT FEE 3142.36 i}
(V%C !CCCk )-\Q+ rAcleci
I, .1. '_C cue
(
-V)7
PAYMENT SUMMARY
NOTES
PAYMENT DATE RECEIPT# PAYMENT AMOUNT
07/03/97 00005990 3142.36
TOTAL FEES AMOUNT PAID AMOUNT OWING
3142.36
3142.36 3.00