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2010, 06-10 Permit: 10000685 RefundSp`mokane Valleye 41,6) 11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206 ♦ 509.720.5240 ♦ Fax: 509.688.0037 • Memorandum Date: 6/10/2010 To: FINANCE DEPT From: JODI MAIN CC: MARY KATE MCGEE Re: REFUND ON 7321 E FAIRVIEW AVE PROJECT NUMBER: PROJECT ADDRESS: PROJECT TYPE: REASON: REFUND TYPE: 10 0685 7321 E FAIRVIEW AVE RIGHT OF WAY Customer has requested a refund $100.00 of $271.00, project was charged for a pavement cut that was not required for $210 but still required clean up charge which is $110.00. Please issue check in the amount of $100 to: Mountain Movers Construction, 2024 E 10th, Spokane WA 99202 GL ACCOUNT : (Mb OD( 03 z oba 3 Z2 LI 00 AUTHORIZED BY: 44 - DATE: O&-, - Za/o ORIGINAL TO FINANCE AND COPY TO FILE WITH PAPERWORK Mountain Movers Construction Inc. 2024 E 10th Spokane, WA 99202 6/10/10 Permit Center 11703 E. Sprague Ave Suite B-3 Spokane Valley, WA99206 Permit Center, Mountain Movers Construction is requesting a refund on the permit price for project number 10000685. The reason for this request is because there was no asphalt cut required to do this job. All work done for this project was in the right away only, and not in the public road way. thank you, Jason Perkins oun ain Movers Construction Inc. :A9 N31 1M1N3ri akeral: A3llVA 3MdN0� J38 17 e% Siii6kane VRI ,env PERMIT C ENTTE 11703 E. Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 1 Site Information Project Information Site Address: 7321 E FAIRVIEW AVE Parcel Number: 35121.2013 Subdivision: Block: Lot: Zoning: R-2 SF Res Suburban District Owner: OLINGER ETUX, I D Address: 4912 N SIPPLE RD SPOKANE VALLEY, WA 99212-1717 Building Inspector: NORTH Water Dist: ORCHARD AVENUE Project Number: 10000685 Inv: 1 Issue Date: 03/15/2010 Permit Use: ROW - WATER INSTALL - 12 X 15 ASPHALT CUT - TCP Applicant: MOUNTAIN MOVERS CONSTRUCTION 2024 E 10TH SPOKANE WA 99202 Phone: (509) 535-0398 Contact: MOUNTAIN MOVERS CONSTRUCTION 2024 E 10TH SPOKANE WA 99202 Setbacks - Front: Left: Group Name: Project Name: Phone: (509) 535-0398 Right: Rear: Permits Right of Way Contractor: MOUNTAIN MOVERS CONST INC ROW - PAVE CUT OBS WINTE 1 FOR RIGHT OF WAY INSPECTIONS CALL (509) 869-5373 ENGINEERING License #: MOUNTMC935DO $210.00 TRFC CTRL PLN REV Total Permit Fee: I $61.00 $271.00 Payment Summary Total Fees AmountPaid AmountOwing $271.00 $271.00 $0.00 Tran Date Receipt # 03/15/2010 22056 Payment Amt $271.00 Notes / Conditions of Approval The traffic plan submitted has been approved for concept only. Contractor is responsible for determining specific signing and layout as required by the MUTCD, WSDOT specs, and WA ST mod to the MUTCD. All devices shall conform to the MUTCD and WSDOT specs The contractor shall notify Carolbelle Branch, Public Information Officer, within 24 hours of receiving this approval. The contractor must provide location of the work, expected start and end dates, and dates and times of any road closures or delays. Carolbelle can be reached at 720-5411 or cbranch@spokanevalley.org, and she will notify the newspaper, school districts, Spokane Valley Police department, and fire dispatch as necessary The City of Spokane Valley may request changes as warranted by Traffic conditions and motorist behavior. SEE ATTACHED STANDARD PLAN K-20.20-00 FOR TCP Processed By: Main, Jodi L PERMIT Printed By: MORRIS, HEATHER Page 1 of 1 Receipt Number: 22056 Projects Miscellaneous Items City of Spokane Valley Building Dept Receipt Customer Number Full Project Nbr Inv Nbr Fee Amt Inv Amt Owinp PAID Pmt 10000685 1 $271.00 $271.00 $271.00 $271.00 Total: $271.00 $271.00 $271.00 $271.00 Total PAID: $271.00 Tender Type Check Acct Balance CC Nbr. Exp Date TENDERED Checkl 5250 271.00 Payer: MOUNTAIN MOVERS CONSTRUCTION Notes: Tran Date /Time: 03/15/2010 3:15:14 PM By: HMORRIS Logon User: BldgCounter Station: CX_SV00014A Override By: Printed: 06/16/2010 10:56:03 AM COPY Total TENDERED: 271.00 Over / (Short) $0.00 Change $0.00 Page 1 of 1