1994, 11-22 Permit: 99010075 RefundREFUND
Pv# .rriV1.1894JW4
Dept 030 — CODE ENFORCE
vmmom
FALCO GARDEN CENTER, INC.
9310 E. SPRAGUE AVENUE
SPOKANE, WA 99206
Vendor Contact/Tel
LGFS PAYMENT DOCUMENT
SPOKANE COUNTY AUDITOR
SSFP TO:
Conliradera Order
BILL TO:
Charge Ota #
Bid ID
Blanket#
RC#
VI#
FOB. 11/94
ACCTG. PERIOD:
PO DATE: BLDG/ROOM:
DELIVERY DATE: WAREHOUSE:
JD EW
CQMMENTS• ENTERED Rv•
BUYER
PI IRCHASfNC IIIRRCTC�R• DONALD L. LA3tRECQUE
COMM LN#
DESCRIPTION
COMMODITY NO
REP ACCT LINE
QUANTITY
UNIT
UNIT PRICE
TOTAL PRICE
,1-94010915 - 1216 N. FELTS RD - PROJECT CANCELED - 80/ X $36.00 =
TOTAL REFUND
SYSTEM VOID
28.80
0.000003
$270.60
?AGE TOTAL:
BRAND TOTAL:
28.80
28.80
270.60
__Li N£ NO, FUND AGCY ORO
1 406 030 0008
02 406 030 0008
03 406 030 0008
04 406 030 0008
05 406 030 0008
06 406 030 0008
07 406 030 0008
SB ORG
ACT
OBI
SB OBI
REV SRC SB REV
2210 07
2210 07
2210 07
2210 07
2210 07
2210 07
RPT CAT
BS ACCT
IOB NO.
PAY THIS AMOUNT
P/F
GRAND TOTAL:
40.00
28.80
40.00
28.80
50.00
47.00
36.00
270.60
VING CE
Materi noted in q
oe ived t ood
SIGNED
FICATION
ty have been
contracted for.
i
TITLE
DATE l ` —��-
m
aJ
C, and ce
ENT CERTIFICATION
do reby artily under penalty of perjury that sut iaent funds have been budgeted for this claim, the
shed, - ices rendered oc labor perfottned as described herein or contracted for, that the claim is
against Spokane County or fund agency indicated above, that I am authorized to authenticate
the underl
rials have been
due and unpaid o
to said claim.
SIGNED
DATE
TITLE
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 TITLE
2
DATE PAGE
Pv#
Dept 030 — CODE ENFORCE
MV111894JW4
VM DOR:
:ALCO GARDEN CENTER, INC.
1310 E. SPRAGUE AVENUE
;POKANE, WA 99206
Vendor Contact/T.1
LGFS PAYMENT DOCUMENT
SPOKANE COUNTY AUDITOR
ATO:
Codamhq Order
BILL TO
Change Order #
Bid ID
BlaNret#
RC#
v1#
POB' 11/94
ACCTG. PERIOD:
COMMPNTS•
COMM LN
::1 DESCRIPTION ^
.`':;COMMoD :'ANO
094010898
094010024
095010909
094010498
94010446
094010906
PO DATE:
DELIVERY DATE:
ENTERED RY-
JOEW
BLDG/ROOM
WAREHOUSE.
BUYER
P1IRGyASINcrneFCTOR DONALD L. LABRECQUE
REP'ACCT LINE'
`QUANTITY+'
•'UNIT PRICE -or;
TOTAL PRICE .
- 6206 S. MADELIA ST. - PROJECT CANCELED - 80% X $50.00 =
a
- 22026 N YALE RD-VOIDED-MJBILE HOME - 100% X $36.00
- 1428 W TONI RAE DR - PROJECT CANCELED -80% X $36.00 =
- 13102 E FPRWELL RD - DUPLICATE PERMIT - 100% X 47.00 =
a
- 24811 W. PREWETT RD -MANUFACTURED HOME -100% X $50.00 =a
- 620 S. HENRY RD - PROJECT CANCELED - 80% X $50.00 =
a
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
$ 40.00
36.00
28.80
47.00
50.00
40.00
PAGE TOTAL:
40.00
36.00
28.80
47.00
50.00
40.00
241.80
...: t -
LINE NO.
'TCL
FUND' r.
-ACCP
2'11::41I1
OR0
SB ORG
,'‘ACT'
: OBI
•SB OBI
?ISE REV' -
RPT CAT
BS ACCT 1 - 1OB NO.
PAY THIS AMOUNT
P/F
Meten
,received
SIGNEDTITLE
DATbA\—•aa'c-9'
FICATION
ty / have been
n or contracted for.
C
AVM
the undeni
- terials have been
due and unps'
fy to said
ERTIFICATION
hereby certify under penalty of penury that surdent funds have been budgeted for this claim, the
services rendered or labor performed as described herein or contracted for, that the claim 13
don against Spokane County or fund agenry indicated above, that 1 am authotized to authenuute
SIGNED
DATE
TITLE
ACCOUNTS PAYABLE
TRAVEL CERTIFICATION
I hereby cerufy undcr 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 aeoount thereof.
SIGNED TITLE
DATE
1
PAGE
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
WEST 1026 BROADWAY • SPOKANE, WA 99260-0050
(509) 456-3675
J
SITE INFORMATION
PROJECT INFORMATION
SITE ADDRESS: 1216 M FELTS RD
WOK:WE WA 99206
PARCEL NUMBER: 45171.0218
SUBDIVISION: FELTS ROAD 1ST ADD.
LOT: 6 BLOCK: 1 ZONE: UR -3.5
INSPECTOR: DAVE SILVA
WATER 01ST:
OWER: WEBER, COLLEEN
PHONE: 509 924 1740
ADORES 1216 M FELTS RD
NE WA 99206
PROJECT NUMBER: 94010915 ISSUE DATE: 11/01/94
PERMIT USE: GAS LOG L PIPING
APPLICANT: FALCO STOVE SEW
PHONE: 509 926 8911
ADDRESS: 9310 E SPRAGUE
SPOKANE WA 99206
CONTACT: FALCO STOVE SHOP PHONE: 509 926 8911
SETBACKS '> FRONT: MA LEFT: MA RIGHT: NA REAR: MA
LENDER MAME:
PRONE:
ADDRESS:
PERMITS
MECMANICAL PERN
CONTRACTOR
FALCO GARDEN CENTER INC
LICENSE 1: FALCOGC173DU
'
-
Q:
-`
CAS LOG OR GAS INSERT
1
IAS PIPING
1
t
PROCESSING FEE
25.00
-/•
TOTAL PERMIT FEE
136.00
/
1
PAYMENT SUMMARY
PATH DATE RECEIPT* PAYMENT AMOUNT
1/01/94 00013010
TOTAL FEES
*36.00
*36.00
AMOUNT PAID AMOUNT OWING
$36.00 S.00
ISSUED PERMIT BY: CAROL FRAZIER