HomeMy WebLinkAbout1996, 11-26 Permit App: 96010145 Gas Log, PipingPROJECT NUMBER= 96010145
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DUPLICATE
.DATE= 11/26/96 PAGE= 01
****** THIS IS NOTA PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK' WITHOUT'APERMIT
SITE STREET= 9403 E HOLMAN RD
ADDRESS= SPOKANE WA 99206
PERMIT USE=
GAS LOG & PIPING
PLAT#= CONVRT
BLOCK=
AREA= 00000000
# OF BLDGS= #
OWNER=
STREET=
ADDRESS=
PLAT NAME=
LOT=
' P/A=
DWELLINGS=
WHITE, THOMAS
9403 E HOLMAN RD
SPOKANE WA 99206
PARCEL#= 44052.0502.,:
CONVERTED CNTY-DATA -
.ZONE= AGSUB DIST#=
F WIDTH= 273,. DEPTH=
1 WATER DIST:=
PHONE= '
•
CONTACT NAME= M LYBBERT - HEAT TRANSFER • PHONE NUMBER= 509;.482 2000'"
BUILDING SETBACKS:' FRONT= NA•'..LEFT= NA RIGHT= NA REAR= NA -
*****************************
*•MECHANICAL PERMIT:•**********.********
CONTRACTOR= HEAT TRANSFER INC
STREET= 3003 N CRESTLINE ST '
ADDRESS= SPOKANE WA•99207 '
ITEM DESCRIPTION
PROCESSING FEEwr,:t)
GAS LOG OR'GAS INSERT -
GAS PIPING
PHONE= 509 .4822000,:,,
*
*****.************************-PAYMENT SUMMARY
PAYMENT DATE RECEIPT#
11/15/96
TOTAL DUE=
PERMIT TYPE FEE`AMOUNT
' 00012363
****
25.00'
�:?tiVr 10.00t'
l.00";.µ
*******,***:
••PAYMENT AMOUNT
00, TOTAL PAID=hi
36.00
MECHANICAL PRMT-i
• 36:00
.PROCESSED BY: • JULIE SHATTO'.
PRINTED BY: JOELL WANDS.
•
-AMOUNT PAID.' AMOUNT.'OWING.
• 36:00-:
*******************I.*
ilea -i• f;��
36.00
.0
:36.00 '
• '7;20',o%�
LO_ik
*.*"**,*'
Pv#
REFUND
MV120260037
Dept 1�T rn �r rnfr
ORC E
VENDOR:
HEAT TRANSFER INC.
3003 N CRESTLINE ST.
SPOKANE WA 99207
Vendor Contact/Tel
SHIP TO:
LGFS PAYMENT DOCUMENT
SPOKANE COUNTY AUDITOR
—J V e,
Confirming Order
BILL TO:
PV MV120260037
Change Order #
Bid ID
Blanket*/
RCN
VIN
FOB:
ACCTG. PERIOD: 12/96
COMMENTS:
PO DATE:
DELIVERY DATE:
ENTERED BY:
BLDG/ROOM:
WAREHOUSE:
PATRICIA EICKSTADT
COMM LNN
r4
DESCRIPTION
' COMMODITY.NO.
BUYER
PURCHASING DIRECTOR: DONALD
L. LASRECQUE
<TOTALPRICE' --
'.EF`ACCT LINE
:'QUANTITY'->'
UNIT
v,
14':• .4,1:1111, K,: pit
CLINE NO:`
80%,CANCELLED.PRJ:96-10145
'.''AGCY"`
SITE: 9403 E. HOLMAN RD.
SPOKANE WA 99206
ORG'
01 406 030. 0008
RECEIVINa1 ERTIFICATION
M enals nor/ n quan 'ty / have been
race ed me�: cond jon or contrac d
I/- Issi%f,I%
SB`ORG'
I- ;ACT'
OBI\
SB OBI•
REV SRC'
'SB REV'
2210 07
-UNIT PRICE
PAGE
DISCOUNT
FREIGHT
SALES TAX
PURCHASE ORDER
USE TAX
GRAND
RPT CAT
BS ACCT
TOTAL:
TOTAL:
TOTAL:
TOTAL:
VALUE:
TOTAL:
TOTAL:
t. JOB NO. ` ':
TOTAL TO VENDOR:
23.30
28.80
0.00
0.00
0.0,0
28.80
0.00
28.80
''PAY. -THIS AMOUNT
28.80
28.80
P/F
SIGNE
TITLE
DATE
CCT T CH III
12/03/96
PAYMENT CER IFICATION
I,
by certify under penalty
a Ju e and unpaid bit
and cetyl .......
SIGNED
DATE 12/03/96
perjury that sufficient funds have been budgeted for this claim, the
nee . or labor performed as described herein or contracted for, that the claim is
County or fund agency indicated above, that l am authorized to authenticate
OFFICE ADMINISTRATOR
ACrn11NTC DAVAOS c
TRAVEL CERTIFICATION
1 hereby certify under penalty of perJury that this
k 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
DATE
PAGE
1
Heat Transfer, Inc.
N. 3003 Crestline, Spokane WA 99207
(509) 482-2000
November 19, 1996
Spokane County Building Codes
1026 W Broadway
Spokane, WA 99260-0050
Please cancel permit #96010145 for Thomas White.
Thank you
Margaret Lybbert
Heat Transfer, Inc.
I'
•
O/V=THE MOVE