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1992, 02-27 Permit: 92000921 RefundSPOKANE COUNTY PAYMENT VOUCHER 129446 VENDOR REFUND CODE NAME TUPPER INC. REALTORS ADDRESS 12929 E. SPRAGUE AVENUE SPOKANE, WA 99216 DATE 2/26/92 AGENCYCODE ENFORCEMENT NAME AUDITORS STAMP ACCOUNT DISTRIBUTION, ORIGINATING ENUTY (ALL VOUCHER TYPES) • 1099 REQ'D ID# LINE NO. VENDOR INVOICE NUMBER FUND AGENCY ORGAN- IZATION ACT OBJ SUB OBJ. REV SOURCE SUB REV JOB NUMBER REPT CATEG BS ACCT - DESCRIPTION AMOUNT 1 92-000921 40) 03C 0008 2210 02 REFUND 290.87 • DETAIL DESCRIPTION 1 100% REFUND OF OVERPAYMENT ON PERMIT #92-000921 c the undersigned do perjury certify under penalty of perjury TOTAL 290.87 FOR 11104 E. FRONT LANE PER COPIES OF ORIGINAL that sufficient funds have been AND REVISED PERMITS • 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- rized to authenticate and certify TITLE INTRA -GOVERNMENTAL VOUCHER' to said claim. DATE FUND • AGENCY ORGAN- IZATION SUB ORG SELLERS ACTIVITY ACCOUNT REVENUE SOURCE REV &lc DISTRIBUTION JOB NUMBER RPC CATEG. RECEIVABLES ACCOUNT' - ` EXAMINED and ALLOWED CERTIEICATIION DATE 19 ` _ SIGNED I `ems/ CHAIRMAN SELLER CERTIFICATION I, hereby certify that the materials have been furnished, the services SIGNED OFFICE ADMINISTRATOR ""--.----' 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 2/27/92 r I am authorized to authenticate and certify to said claim DATE - DATE MEMBER 7 SPOKANE COUNTY DEPARTMENT OF BUILDINGS W. 1303 BROADWAY AVENUE SPOKANE, WASHINGTON 99260 (509) 456-3675 !certify that /have exami ned this permit/applicatIon, state that the information contained in it and submitted by me or my agent to compite saidpermit/application otrue and correcl, and author,ze Spokane County to proceed with processing In uoii I have read and understandthe INSPECTION REQUIREMENTS/NOTICE provisions included herein and agree to comply with same All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to give authority to violate or cancel the provisions of any state or local law regulattng construction, or as a warranty of conformance with the provisions of any state or local laws regulating construction SIGNATURE OF APPLICATION OWNER 8nAGENT DATE PRO.|ECT NUMBER= 92608921 REVISED FEES DATE. 02/25/92 PAGE= 01 »*****s********************* PERMIT INFORMATION **************************** SITE STREET= 11184 E FRONT LN PARCELO= 16543-8611 ADDRESS= SPOKANE WA 99286 FERMIT USE= RESIDENCE / TOWN HOUSE / NATURAL GAS PLAT4= 001654 PLAT NAME- MOFFITT'S %UB BLK^ i5i OPP^ BLOCK= LOT= i} ZONE= ||R241 DISH= AREA= F/A= F WIDTH= 44 DEPTH= 69 R/W= 24 OF BLDG%- 4 DWELLINGS= i WATER DIST = MODERN OWNER= TUPPER INC PHONE- 509 928 1991 STREET= 12929 E SPRAGUE AVE ADDRESS= SPOKANE WA 99216 CONTACT NAME= DAVE RENZ PHONE NUMBER= 509 928 1991 BU]LDING SETBACKS: FRONT= 18 LEFT= 11 RIGHT= iO REAR= 2 ***************«-A************** BUILDING PERMIT **********************«*v*** CONTRACTOR= TGPPER INC REALTORS STREET= 12929 E SPRAGUE AVE ADDRESS= SPOKANE WA 99216 NEW= X DWELL UNITS= BLDG W X D - REQ PARKING= 2 33 DESCRIPTION DECK GARAGE RESIDENCE PHONE= 509 928 199i REMODEL- ADDITION= CHANGE OF U%E- OCCUP^ LD= BLDG HGT= 12 STORIES= X 57 SQ FT= 1821 SPRINKLER= N OHANDICAP= CRITICAL MAT= N GROUP ----- R-3 M-1 R-3 ITEM DESCRIPTION RESIDENTIALVALUATION STATE SURCHARGE COUNTY SURCHARGE ******************************* TYPE ---- VN VN VN VALUATION --------- 488'88 3696^88 55134.00 QUANTITY FEE AMOUNT -------- ---------- Y 459^5O Y 4^5O 82^7i ********1****************** MECHANICAL PERMIT CONTRACTOR= BARTON HEATING ti A/C INC STREET= 11816 E MANSFIELD AVE 4883 ADDRESS= SPOKANE WA 99286 ITEM DESCRIPTION QUANTITY ASG WATER HEATER 1 GAS HTG EQUIP<180,880>BTU 1 GAS PIPING 2 PHONE= 509 922 5088 FEE AMOUNT ---------- 18^88 i2^08 2^08 ********x****x*************** PLUMBING PERMIT ****************************** CONTRACTOR= GOLD SEAL MECHANICAL INC PHONE= 509 535 5944 STREET- 5524 E BOONE AVE ADDRE%:.?= SPOKANE WA 99212 ITEM DESCRIPTION QUANTITY FEE AMOUNT -------------'----------- -------- TOILETS 12.00 2 i2^88 SINKS 2 12'88 SHOWERS i 6.00 BATH TUBS i 6,00 KITCHEN SINKS 1 6^80 DISH WASHERS i 6.00 SPOKANE COUNTY DEPARTMENT OF BUILDINGS W. 1303 BROADWAY AVENUE SPOKANE, WASHINGTON 99260 (509) 456-3675 I certify that I have examined this perm it/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true and correct, and authorize Spokane County to proceed with processing In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agree to comply with same. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to give authority to violate or cancel the provisions of any state or local law regulating construction, oras a warranty of conformance with the provisions of any state or local laws regulating construction SIGNATURE OF APPLICATION OWNER OR AGENT DATE ,. .�. _ . rv';;'. Ll..!::. ...1 NUMBER= 5':.. Ci 4:31)3',..' 3?'Pi 3(" )`.'A" tl" 3('3('363('3('3(' �:E:. .... 1)(02/25/92 ..... E?1::.'u �i. .: i...)i I"ECE:S DATE= c= PAGE C:. i43FiH*ri..1f 4E.ri PAYMENT SUMMARY P'fit Y'i.iE::1`i T DATE: 02/2. TOTAL.. DUE PERMIT ; I'i('E: f l::a:: AMOUNT r3i•iOt.irv, PAID AMOUNT OWING 3(' 3F3F'it 3F 3(" lk'• 3k 3(—h' P •,(. i'i'N" lk'R" -3* -3* !('')t RE_CEIff'I,i: PAYMENT AMC:Ury'1. ..... ........ ........ ... ....... 290.87 'TOTAL1-(L7j:c ,,:)::,, _ ILO'. i•JC; PERMIT AL PRMT PLUMB' PERMIT PROCESSED BY: JOHN i._("�R.SON PRINTED BY: ,it.il._3:E:: Si-ir'iTTO 546..7i 24,00 40.00 6i6.71 (**********************4C ;46 _r 1 43 :00 ,00 J30 i ;. i'i .ilii THANK YOU '•p... 36 n: 3e* 3i 3E ******• *4(* 3636 1_4) ;Auzefied 962.--C_A-Lck ix( 7P D- 64r? IDO °a