1990, 12-13 Permit: 90006695 RefundSPOKANE COUNTY PAYMENT VOUCHER
VEND -OR
CODE -
NAME NOMAS
ADDRESS EAST 15808 LONGFELLOW AVENUE
SPOKANE, WA 99216
113809
DATE 12/13/90
AGENC
NAME Y BUILDING AND SAFETY
AUDITORS STAMP
ACCOUNT DISTRIBUTION, ORIGINATING ENTITY (ALL VOUCHER TYPES) 110 1099 REO'D ID#
LINE VENDOR ORGAN -SUB REV SUB JOB REPT BS
NO. INVOICE NUMBER FUND AGENCY RATION ACT OBJ OBJ SOURCE REV tJUMBER CATEG ACCT DESCRIPTION AMOUNT
iviJu?� i1i~ i ; Luv, iv 1 L. ' 4. 38• .
1. 100% REFUND ON DUPLICATE PERMIT #90005882 ISSUED 11/02/90
FOR 15808 E. LONGFELLOW AVENUE, SPOKANE, WA 99216 PER
COPIES OF PERMIT #90005882 AND PERMIT #90006695
100% $38.00 X 100% = $38.00
ORGAN- SUB REVENUE °"" RPT. vrrac'
FUND AGENC IZATION ORG ACTIVITY SOURCE RRA J013 NUMBER 'RPT.
AECENAaIES
errni wt
SELLER CERTIFICATION
I, hereby certify that the materials have been furnished, the services SIGNED
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
1 am authorized to authenticate and certify to said claim. DATE
I, the undersigned do hereby
certify under penalty of perjury
that sufficient funds have been
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
indicated above, that I am autho-
rized to authenticate and certify
to said claim.
CERTIFICATION
SIGNED
TITdISTANT DIRECTO:
DATE
38.00
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
DATE
EXAMINED and ALLOWED
DATE 19
CHAIRMAN
MEMBER
MEMBER
SPOKANENTY DEPARTMENT,OF BUILDINGS
1 W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675.
I certify that 1 have examined this permit/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 issua f this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the v' ons of any state or local law regu sting constructlon, or as a warranty of conformance with the provisions . of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE-
PROJECT
ATE
PROJECT NUMBER= 90005882 ` I)ATE"S "11/02/90 PAGEw 01
V.jvV.I$SU.ED PERMIT
aE�E aEjt�E�EaEx�EaEaE�EaE�E�E# �E�E�E�E�E�E�E�E �E PERMIT INFORMATION
SITE STREET= 15808 E L.ONGF'ILL.:OW AVE- �— -PARCE =004240
-04 542-i0 2-0"
ADDREM
- -
ADDRESS= SPOKANE WA =16-
p.a,h,n�
PERMIT USE= CTAS FURNACE &-IPINGyr��«r�•S���kow4'+
PLAT*= 002846 FLAT --NAME .WELLgSLEMOOR -4 00
BLOCK= 3 LOT= n. i 2:, ZONE'S AGSUH. SDMST* Fn -
AREA=
•_ -
AREA= 00000000 K-F/A- F WIDTH= <49T ._DPRTH= 197 R/Wm
OF DLDGS= 2 0 DWE=LLINGS= ?- VA
OWNER= THOMAS, RON :.__ — PHONEw 809 926'5234 _.._ ...._..
STREET= 15808 E: LONGFEL LOW AVE1 `..
ADDRESS= SPOKANE WA 99216 r,
CONTACT NAME= RON THOMAS PHONEr NUMBER= 509 -926 5234
WILDING SETBACKS: FRONT= NA LEFT= NA _ RIGHT= NA 3 "REAR- NA-
MECHANICAL?
A MECHANICAL_F'
CONTRACTOR= OWNER PH0NE� �
ITEM DESCRIPTION - QUANTITY jFEE AMOUNT'
--__.____-----_----- — -- -- ------ r
PROC:EESSING FEE Y - 25.00-'
GAS HTG E gUIP< i 00, 000>DTU-. '* i i 2.00 s
GAS PIPING;. , ,�� � i.00
aEaE�Ex�E�EaE�E�E�E�i�EaixxxaE�E�EaE iE aE't�E�EaE�E�EaE PAYMENT SUMMARY*i*4*aE*aE***iE*aE******aEaE******
PAYMENT DATE RE.CEIPTO PAYMENT -AMOUNT
11/02/90 6945 38.00
TOTAL... DUE= -.00 TOTAL_ PAID= 38.00
PERMIT TYPE F''E.E. AMOUNT AMOUNT PAID AMOUNT OWING
--------------
MEC:I••IANIC:AL.. PRMT 38.0q 438 , 00 A 00
------_______.._.._.._.._.._ --_. --
38.00 :3E3.00 .00
PROCESSED BY: .JULIE SHATTO
PRINTED BY: JULIE. SHATTC) i
THANK YOU
�1A'17>Ltcp�Tc SES
0
ct c7 - Cas
F�
1,211 z 1'i d
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWIUE
SPOKANE, WASHINGTON 99260
(509)456-3675
.1 certify that I have examined this permit/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 constyctiori, or a a warranty of conformance with the provisions of any state or local
laws regulating construction. "
SIGNATURE OF , APPLICATION
OWNER OR AGENT
9P
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69452
11-0.2-90
6,479,
*38.00
*38.00 F
*38.00(
*(100 vl
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
,is permit/application, state that the information contained In it and submitted by me or my agent to compile said permit/application is true
pokane County to proceed with processing. In addition, 1 have read and understand the INSPECTION REQUIREMENTS/NOTICE
d agree to comply with same. All provisions of laws and ordinances governing this type of work will be complied with whether specified
It the issuane of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
cel the prow' ,ons of any state or local law reg sting construction, or as a warranty of conformance with the provisions of any state or local
APPLICATION ,�^
F:� ��• . r� , / 'f�t��.z, DATE „.7,42e,
10 1401.$
SSI.Irt) `PERMIT PAGE= ii t
4 ***•)F*****•x*x•****')i'*at• '***at•*** f ERM:tINFORMATION ****** t*athii•a1•iiat'** x•*' ***acx••)E
SITE STREET= 15808 E LONGFEL.LOWAVE "
ADDRESS= SPOKANE WA 99216
PERMIT USE= C;As FURNACE IN PIPING FOR SHOP
1::'LAT : - 002846 PLAT NAME= WELLESLEY MANOR ADD
BLOCK':, 3 LOT.,: i2 ZONE= AGS'1.IB T)T c'T':M:::
AREA',. 000000 00 F/A- F WIDTH= 103 DI:' PTI•H=
CIF fiE...DGF,,_ 2 DWELLINGS- 1
OWNER= THOMAS:, RON PHONE= 509 926 5234
"'T RE::E::7''=:= 'i 5i:3(}c3 E I...ONGE:•FL_1 OW AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= 1E::=:: RON THOMAS PHONE NUMBER= 509 9+ry),!� 52:;?•
BU D.D:E:Nc SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
J
,,:***K********************** .lr N:.h M I... C; H A N T. c A L PERMIT M' * * # •!i• i4 * it • )i..)i..),,..)i ri )i tE )e •ii• ;i. h..N. * )E• •h:• N Yi•
CONTRACTOR= OWNER PHONE
PARCEL.4s 01542-1312
1;-
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t -A1' E41G Eq.
•
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TriThfIL
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ME:(`E B1 1:‘, Pri
OO, 0O0>BTU
AM
QUANTITY FFE AMOUNT
1
1
i 0 0
PAYMENT N T C
,. lJ 1`1 Pi I.1 E. ti * n' •Y.• •)E }i..)4 :i0( ;i' n} �;�: ,( •�,: Ji '>~'r.')E iri ii 'n
RE::CE:TPTO E:''AYi"iE:::1''.t..r j4j1!tI,4..E.
6947 l) 1
,00 TOTAL PAID=
AMOUNT PAID r),M(7Ml .T. OWING
38,00 ,00
00
,3f3 0038,00 ,00
4.WA'**)Eii')('h• THANK r i.l lJ ** 3l* 7l' Y 'Jl")k )P h' K' p: h"1="14'
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