1992, 12-16 Permit: 92009919 RefundVEND
Com REFUND
SPOKANE, COUNTY,,PAYMENT VOUCHER •150463'
ALLIED HEATSING INC.
NAME
K9309 E. TRENT AVENUE
ADDRESS
SPOKANE, WA 99206
DATE
12/16/92
AGENCYDEPT OF BUILDINGS
NAME
AUDITORS STAMP
ACCOUNT DISTRIBUTION, ORIGINATING EN711TY
(AL
VOUCHER
TYPES)-
•
1099 REQ'D ID#
LINE
NO.
VENDOR'
INVOICE NUMBER •
FUND,
AGENCY
ORGAN-
RATION
ACT'
OBJ
SUB
OBJ"
REV
SOURCE
SUB
REV
JOB
NUMBER •
REPT
CATEG
_
BS
ACCT
DESCRIPTION -
AMOUNT
,
92-009919
406
030
0008
2210
07
REFUND
30.40
DETAIL
DESCRIPTION
1 80% REFUND ON PERMIT #92-009919 FOR 8203 EAST FREDERICK AVE,
PERMIT CANCELED PER COPY OF PERMIT WITH NOTATION ATTACHED
1, the undersigned do hereby
certify under penalty of perjury
TOTAL-
.
30.40
that funds have been
•
•
"
•
- -
sufficient
budgeted for this claim, the ma-
terials have been furnished, ser-
vices 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 agency
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
indicated above, that I am autho-
razed to authenticate and certify
TITLE
INTRA -GOVERNMENTAL
•
VOUCHER ..
to said claim.
DATE
FUND
AGENCY
ORGAN-
IZATION
SUB
ORG
SELLERS
ACTIVITY
ACCOUNT
REVENUE
SOURCE
SUB
SRC
DISTRIBUTION-
RPT OFFSET
JOB NUMBER CATEG RECEIVABLES
ACCOUNTS
,"
/
EXAMINED and ALLOWED' '
CERTIFICATION
DATE 19
SIGNED\
CHAIRMAN
SELLER CERTIFICATION
I, hereby certify that the materials have been furnished, the services SIGNED
OFFICE ADMINISTRATOR
TITLE
MEMBER
rendered or the labor performed as described herein or contracted
for, and that the claim is a just, due and unpaid obligation, and that TITLE
'
I am authorized to authenticate and certify to said claim. DATE
DATE t 12/16/92
MEMBER
11-09-92
z 6.479.
04* *38.00
*38.00
*38,00,1
E *0.00
7.25
0
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
t/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true
County to proceed with processing In addition, I have read and understand the INSPECTION REOUIREMENTS/NOTICE
o comply with same All provisions of laws and ordinances governing this type of work will be complied with whether specified
ance o1 this permit/application and any subsequent inspection approvals or Certificates o1 Occupancy shall not be construed to
owsions of any state or local law regulating construction, oras a warranty of conformance with the provisions of any state or local
PROJECT NUMBS: R= 9200991 9
APPLICATION
DATE
ISSUED? PERMIT" DATE=- 41 /09/92 PAGE-' 01
'***4*•#'h####i*#*1*f**#'i*R'1** *## PERMIT INFORMATION'
SITE STREET= 8203 E FREDERICK AVE:
ADDRESS= SPOKANE Ir 99206 a
PERMIT USE= HEATING I:CPT•il=.N'T :A, PIPING
#-##4ic•#•il•#A•i*•#' *4***4*i*#
PARCELS= 45072.20@2
PLATT:=:: 000000 PLAT NAME=,UNKNOWN
BLOCK= LOT= ZONE= LINK DIST4==
AREA= 00000000 F/A=: ,F WIDTH= DEPTH=
0 OF BLDG'S= »: DWELLINGS=' • WATER DIST =_
OWNER= POT•TS, JAMES N
STREET= 8203 I. FREDERICK AVE:
ADDRESS= SPOKANE WA 99206
PHONE,
lel
CONTACT NAME= ALLIED HEATING INC PHONE NUMBER= 509 928 8252
BUILDING SETBACKS: FRONT= N/A LEFT- N/A RIGHT= N/A REAR- N/A
'#'#'1***'#'K'#,l'iI'#'A)t)!####')lA'##'#'#:A#'##'# ' MECHANICAL PERMIT ri##'################'#######,
CONTRr C1OR== ALLIED HEATING iNC
STREET= 9309 E --TRENT AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY
PROCESSING FEE Y
GAS HTG EQUIP<100,000>BTU
GAS PIPING
PHONE= 509 928 8252
FEE AMOUNT
25,00
12,00
1.00
4**i*ii#9i**i*)i'#ni9i#**4***4.#'#.g.:.) 4*** #dF*** PAYMENT SUMMARY #:*#3i#k*##sr.M.:t*.4* 4'4*4')5*#4'#ri'.ft'#.h.**#
PAYMENT DATE RECEIPT';; PAYtiEt31 AMOUNT
11/09/92 72 38.00
r0'iAl.. DUE= ,00 E'I:,'r(-51_ PAID ::::
38.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT r- 38,00 t 38,00 .00
38.00 38.00 ,Fir/
PROCESSED ItY: DOMITROVICH, iOPIN
PRINTED BY: DOMITROVICH,`$:OPIN
')*#'#•il'•1*'**'R.•K•it'il•.A•il•it'i*#'1*il'###ilR'#'!('##Il'9:#'#'R' THANIK. YOU ##..%ii**i*iii*#####i*•####i*'######x•#####i*i*
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