1997, 02-12 Permit: 97000062 RefundPv#
Dept
M V02.11700C 8
C3C EUILC E PLAN
VENDOR:
JIM'S HEATING
E A/C
42C3 E NEBRASKA
SPOKANE
Vendor Contact/Tel
WA 99207
SHIP TO:
LLTr int,11T DCA; UM1NT
SPOKANE COUNTY AUDITOR
Confirming Order
BILL TO:
FVVC:i1T'.
Change Order #
Bid ID
Blanket#
RC#
FOB:
ACCTG. PERIOD:
COMMENTS:
COMM LN#
02/97
DESCRIPTION
COMMODITY NO
80% PRJC96-62,
SITE: 2604 N ELLA RD
SPOKANE WA 99206
DIST. "E"
LINE NO.
01
FUND
406
RECEI 0 f CE r CATION
Materia ;t� d in . , : ity / have been
ave•%/,, :ood c.,1 -. tio. or con.. c/ d for.
. '':iIIli71?/
PO DATE:
DELIVERY DATE:
ENTERED BY:
REF ACCT LINE
CANCELLED
AGCY
030
TITLE ACC TECH III
DATE 02/12/97
ORG
0008
SB ORG
PAYMENT CERTIFICATION
ACT
BLDG/ROOM:
PATRICIA LICK3TAAREHOUSE:
I OUANTITY I UNIT i
OBI
SB OBI
REV SRC
BUYER
VI#
PURCHASING DIRECTOR: D C N A L L L. L A ;; R E C OL
SB REV
210 07
UNIT PRICE I
PAGE TOTAL:
CISCOUNT TOTAL:
FREIGHT TOTAL:
SALES TAX TOTAL:
PURCHASE ORCER VALUE:
USE TAX TOTAL:
GRANL TOTAL:
RPT CAT
1, the undersigned do hereby . rtify under penalty of perjury that sufficient funds have been budgeted for this claim, the
mate have been furnishservices rendered or labor performed as described herein or contracted for, that the claim is
a Jus ue and unpaid obitn algal or fun
al . t Spokane Countyd agency indicated above, that I am authorized to authenticate
and ef to sal laim. '� ASSISTANT BUILDING &
TITLE PLANNING DIRECTOR
SIG
DATE 02/12/97
ACCOUNTS PAYABLE
BS ACCT
JOB NO.
TOTAL TO VENDOR:
TOTAL PRICE
3d •4
::G.4t
c.Cic
*co
c.GO
30.40
C.00
30.40
PAY THIS AMOUNT
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.
3C.40
3t;.4C
P./F
SIGNED TITLE.
DATE
PAGE
SPOKANE COUNTY DIVISION OF BUILDING AND PLANNING
1026 W. BROADWAY • SPOKANE, WA 99260-0050
(509) 456-3675
(
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: NONE
WATER DIST:
OWNER: HITCHCOCK, DEAN
PHONE: 208 664 5939
ADDRESS: 1415 LAKESIDE
COEUR D 'ALENE ID 83814
PROJECT NUMBER: 97000062 ISSUE DATE: 01/06/97
PERMIT USE: GAS FURNACE, & PIPING
APPLICANT: JIM'S HEATING & A/C
PHONE: 509 489 9629
ADDRESS: 4203 E NEBRASKA
SPOKANE WA 99207
CONTACT: JIM'S HEATING & A/C PHONE: 509 489 9629
SETBACKS -> FRONT: N/A LEFT: N/A RIGHT: N/A REAR: N/A
LENDER NAME:
PHONE:
ADDRESS:
PERMIT(S)
MECHANICAL PERMIT
CONTRACTOR
JIM'S HEATING & AIR CORD
LICENSE #: JIMSHAS131NU
GAS APPLIANCE<=100,0008 1
GAS PIPING 1
PROCESSING FEE 25.00
TOTAL PERMIT FEE $38.00
7-6,0
(%)
(100/c) —Pr( E(1Cc(
lr14.
PAYMENT SUMMARY
NOTES
PAYMENT DATE RECEIPT#
PAYMENT AMOUNT
01/06/97 00000080 $38.00
TOTAL FEES AMOUNT PAID AMOUNT OWING
$38.00
$38.00 $.00
ISSUED PERMIT BY: WENDEL, GLORIA
JIM'S HEATING & AIR CONDITIONING
4203 E. NEBRASKA
SPOKANE, WA 99207
(509) 489-9629 or 1-888-489-9629
JIMSHAS131 NU
RE: permit # 97000062 for 2604 N. Ella Road
To whom it may concern:
The customer for this address has ea
permit for no work will be completed at this
Thank you for your time.
February 4,1 "7
Michelle Eisele
Manager
Jim's Heating
P