2001, 07-26 Permit: 01005944 RefundVendor ID GRANCALV
Voucher ID 00097588
Rel Vchr ID
Dept ID
VENDOR:
Grant, Calvin
2419 S Dishman Mica Rd
Spokane WA 99206
Vendor Contact/Tel
SPOKANE COUNTY PAYMENT DOCUMENT
SPOKANE COUNTY AUDITOR
SHIP TO:
BILL TO:
PAGE I OF 2
RC#
INV# 01-5944
ENTERED DATE : 07/26/2001 PO DATE:
LINE NO. 1 DESCRIPTION
ENTERED BY: Patty Eickstadt
ITEM ID
BUYER:
PURCHASING DIRECTOR: BELA G. KOVACS
. • QUANTITY
-UNIT
UNIT PRICE
EXTENDED AMOUNT
PO#
CHG ORD#
PO LINE#
PO SCHED#
CONTRACT#
1
7
VALUATION ADJUSTMENT
BACE'S PORTION OF REFUND
0
0
0
0
1.0000
1.0000
0
0
LOT
LOT
0.00
0.00
17.39
43.61
LINE NO.
DISTRIB LINE
ACCOUNT
FUND
DEPTID
PROGRAM
CLASS
RPT CAT
BDPER
PC UNIT
PAY .THIS AMOUNT
PROJECT
ACTIVITY
RES. TYPE
CATEGORY
SUB CAT
AM UNIT
PROFILE
ASSET FLG
ASSET ID
CPLAN
2
BACE
1 221002 417
6030 REFND
l 221002 406 0300008
240 REFND
4170000
2001
PROJA
2001 PROJA
N
17.39
43.61
z✓
Vendor ID GRANCALV
Voucher ID 00097588
1 Rel Vchr ID
Dept ID
VENDOR:
Grant, Calvin
2419 S Dlshman Mica Rd
Spokane WA 99206
Vendor Contact/Tel
SPOKANE COUNTY PAYMENT DOCUMENT
SPOKANE COUNTY AUDITOR
SHIP TO:
BILL TO:
PAGE 2 OF 2
RC#
' INV# 01-5944
ENTERED DATE : 07/26/2001 PO DATE: BUYER:
ENTERED BY: Patty Eickstadt PURCHASING DIRECTOR: BELA G. KOVACS
LINE NO. DISTRIB LINE
ACCOUNT
FUND
DEPTID
PROGRAM
CLASS
RPT CAT
BDPER
PC UNIT
PAY THIS AMOUNT
PROJECT
ACTIVITY
RES. TYPE
CATEGORY
SUB CAT
AM UNIT
'PROFILE:
ASSET FLG
ASSET ID
Comments: APPLICANT CHANGED PLANS AND VALUATION CHANGED = 80% OF THE VALUATION
DIFFERENCE REFUNDED PRJ# 01-5944 SITE
LOCATION: 2419 S. DISHMAN MICA RD.; SPOKANE WA 99206
DISCOUNT TOTAL:
FREIGHT TOTAL:
SALES TAX TOTAL:
SUBTOTAL:
USE TAX TOTAL:
GRAND TOTAL:
0.00
0.00
0.00
61.00
0.00
61.00
TOTAL TO VENDOR: 61.00
RECEIVING CERTIFICATION
Materials noted in quantity - have been received in god coidmon or
contracted for.
\I /
SIGNED ,(��/
DATE 7/26/01 TITLE ACCT TECH 4
PAY?IENT CERTIFICATION
1, the undersigned do hereby certify under penalty of perjury that sufficient funds have been budgeted
for this claim, the materials have heat furnished, services rendered or labor performed as described
herein or contracted for. that the claim is a just, due and unpaid obligation against Spokane County
or fund agen �qed above, that 1 am authorized to authenticate and certify to said claim.
SIGNED
DATE7/26/01 TITL
SIGNED i if
DATE 7/ 0/01 TITLE Direo ovision of Planning
TRAVEL CERTIFICATION
1 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
DIV OF BLDG & CODE ENFORCEMENTDATE
DIRECTOR
r<7*-- / C
TITLE
61:00)
Project Receipt Summary Thursday, July 26, 200/
Address 2419 S DISHMAN MICA RD
SPOKANE WA 99206
Owners Name: GRANT, CALVIN
Address: 2419 S DISHMAN MICA RD
SPOKANE, WA 99206
Occupant:
Applicant: GRANT, CALVIN
Page 1 of 1
PROJECT#: 01005944
Phone' (509) 891-8909
Phone:
Phone: (509) 891-8909
Use: ENCLOSE EXISTING CARPORT W/ 24 X 10 ADDITION
Application Date: 7/20/2001 Permit Issue Date: 7/20/2001
Receipt Nbr: 5431
Transaction Date/Time: 7/20/2001 9:32:11 AM
Acct Account Transaction
Description Total Due Amount Paid
00120 RESIDENTIAL PMTS P $120.38 $120.38
00150 STATE SURCHARGE P $4.50 $4.50
P0120 RESIDENTIAL PMTS P $47 98 $47.98
$172.86 $172.86
Receipt Nbr: 5654
Acct Account
Description
00120 RESIDENTIAL PMTS
P0120 RESIDENTIAL PMTS
Transaction Date/Time: 7/26/2001 3:31:06 PM
Transaction
R
R
Total Due
$0 00
$0 00
Amount Paid
($43.61)
(517.39)
NTREFUNVDED
$o.00=
a 1: A.....l ..- ...
re-
rW Fa]R4^ u.elo -,.,a �.�. y.� ..
ti.
Dor PYs N9 Ma.
)
SPOKANE COUNTY DIVISION OF BUILDING AND CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
(509) 477-3675
SITE INFORMATION
PROJECT INFORMATION
Site Address:
Parcel Number:
Subdivision:
Block:
Zoning:
Owner:
Address:
Inspector.
Water Dist:
2419 S DISHMAN MICA RD
SPOKANE, WA 99206
45294.0101
CHESTER HILLS ADD.
Lot:
UR -3 Urban Residential 3.5
GRANT, CALVIN
2419 S DISHMAN MICA RD
SPOKANE, WA 99206
DAN HOWARD
Project Number: 01005944 Inv: 1 Issue Date: 7/20/2001 �
Permit Use: ENCLOSE EXISTING CARPORT W/ 24 X 27 ADDITION \ •
APPVt man ((&f ri) site_ o4 Qct d t'i��2A a
Applicant: GRANT, CALVIN +0 21-1- X ( 6
2419 S DISHMAN MICA RD
SPOKANE, WA 99206
Contact: GRANT, CALVIN
2419 S DISHMAN MICA RD
SPOKANE, WA 99206
Phone: (509)891-8909
Phone: (509) 891-8909
Setbacks -,Front: Left: Right: Rear.
Group Name:
Project Name:
l
PERMIT(S)
Building Permit
Remodel
Dim:
Sq Ft:
Grp: U -I
Contractor: OWNER
License 11: OWNER
X Stories
Type: VN
BARN
ENCLOSE
CARPORT
Total Value:
U-1 VN
U-1 VN
64R RESIDENTIAL VALUATION
0 STATE SURCHARGE
RESIDENTIAL SURCHARGE
$7,876 00
$138.00
$4.50
$30.36
Total Permit Fee: $172.86
1.�-5_CA
(9(itl�
tt t 3'a. 9C
3 C, 3(0
,5D
.025
A 1.72_.?*,
torrn(fed
t Clam Q
0 15.50
dt{--r- enc_e_
Sok r
IS(Pl .00
PAYMENT SUMMARY Pa e I of
PERMIT Processed By: FRAZIER, CAROL
Printed By: SCHNEIDER, PENNY
Tran Date Receipt #
7/20/2001 5431
Total Fees AmountPaid
$172.86 $172.86
Payment Amt
$172.86
Amountthving
$0.00
1
NOTES
fi .11/1-5
v; a.