1994, 11-10 Permit: 94007031 Refund` ( 1 ' 104 ` LGFS PAYMENT DOCUMENT
pV# R V 110 9 94 JW 3 SPOKANE COUNTY AUDITOR
F_N'=ORCE
VENDM. MW TO:
INLAND NORTHWPST HEE TING E ,AIR
3506 E. RIVr;tSi')E
.::,SPOKANE] WA 99?0.!
Vaud" ConthwTel
Conftradoc Order
Chuqe Ottw #
Bid ID
Blud*#
Rc;~f
V«
FOB: 1 / 94PO DATE: BLDG/ROOM: BUYER
ACCTG. PERIOD: DELIVERY DATE: WAREHOUSE:
J o :w DONALD L• L A BR E C Q U
`.;
tN# DESCRIPTION
' COMMODITY NO REF ACCT LINE QUANTITY UNIT 'UNIT PRICE TOTAL�PRICE
8126 N HUGHES -DUPLICATE PERMIT TO #94011149-100% REFUND
0.000000
34007 3! -- 3812 S MERCY CT -DUPLICATE PERMIT TO #94007146-100% REFUND
@ .0.000000
= 9 4 010 3 3 3 7 -- 7720 E EUCLID AVE -DUPLICATE PERMIT TO #94009087-100% REFUND
;. a 0.000000
36.00 %
37.00L/
37.00
TI TION PAYM CERTIFI ION
<da q V have been a do bete certify under penalty of perjury that sufficient funds have been budgeted for this claim, the
reserve n or conrraasd.(ocatehala ba n d, wr Aces rendered or labor performed as described herein or oontacted for, that the claim is
a due and un ligation against Spokane County or fund agency indicated above, that I am authorized to authenticate
SIGNED and rtily to d
Tffu SIGNED =LE
nA. \\ _ \n R IT \\_kT
GRAND TOTAL:
TRAVEL CERTIFICATION
I hereby certify under penalty or perjury that this
is a true and correct claim ror necessary expenses
Incurred by me and that no payment has been received
by me on account tbereot
SIGNED
11t;. CIO
PAGE TOTAL:
110.00
GRAND TOTAL:
110.00
ND
RO
$BORG
ACT
OBI
SB OBI
REV SRC
RPT CAT
IBSACgTJ�
ToB NO.
01
02
406
+�03
03.3 ;;003
030 5003
2
07
37.00
03
,0�
lei .11 ;, OC3
.?r10
1.:. %21J
07
37.00
TI TION PAYM CERTIFI ION
<da q V have been a do bete certify under penalty of perjury that sufficient funds have been budgeted for this claim, the
reserve n or conrraasd.(ocatehala ba n d, wr Aces rendered or labor performed as described herein or oontacted for, that the claim is
a due and un ligation against Spokane County or fund agency indicated above, that I am authorized to authenticate
SIGNED and rtily to d
Tffu SIGNED =LE
nA. \\ _ \n R IT \\_kT
GRAND TOTAL:
TRAVEL CERTIFICATION
I hereby certify under penalty or perjury that this
is a true and correct claim ror necessary expenses
Incurred by me and that no payment has been received
by me on account tbereot
SIGNED
11t;. CIO
/NL�NO
Spokane County Dept of Buildings
West 1026 Broadway
Spokane, WA 99260-3675
November 3, 1994
To Whom it May Concern,
We purchased the following permits. Since purchasing the permits,
the customers have decided not to have the work done. We are
requesting that we be reimbursed for the permits.
PERMIT # NAME ADDRESS
94010675 Schotz 8126 N. Hughes Dr
94008337 Somerlott 7720 E. Euclid Ave
94007031 Waldrip 3812 S. Mercy Ct
If you have any questions, feel free to contact me at Ext (509)-
534-4700.
Sincerely,
WAYNE HEAGLE,
Manager
E. 3506 Riverside Spokane, WA 99202 ( 5 0 9 ) 534-4700 FAX (509) 534-3001
arIV 41
spot r. A NE CouNTY.DEPARTMENT OF. $OLDINGS ,r
1626 $ROADWAY • SPOKANE, WA 99260 0,
4 a 4 c
1
SITE ADDRESS: 3812 S MORCY CT
SPOKANE VA 99206
PARCEL NUMBER: 45321.1501
SUBDIVISION: PONDEROSA'3RD ADD
LOT: 1 BLOCK: 1 ZONE: SFR
INSPECTOR: DAVE SILVA
WATER DIST:
OWNER: WALDRIP,�JERRY
PHONE: i
ADDRESS: 3812 S McRCY CT
SPOKANE ,ISA, 99206
PROJECT NUMBER: 94007031 ISSUE DATE: 07/26/94
PERMIT USE: AIR CONDITIONER
APPLICANT: INLAND NW HEATING &
PHONE: 509 534 4700
ADDRESS: 3506 E RIVERSIDE
SPOKANE WA 99202
CONTACT: INLAND NW HEATING & PHONE: 509 534 4700
SETBACKS -> FRONT: NA LEFT: NA RIGHT: NA REAR: NA
LENDER NAME:
PHONE:
ADDRESS:
1
PFR M iTf Cl
MECHANICAL PERMIT,
CONTRACTOR
INLAND NORTHWEST HEATING'& AIR
LICENSE #: INLANNHO73C4
TEAT PUMP OR A/C 0-5 TO 1
'ROCESSING FEE 25400
'OTAL PERMIT FEE S�iM
j
PAYMEN UMMARY NOTES
PAYMENT DATE RECEIPT#1 PAYMENT AMOUNT
07/26/94 00008460- $37.00
TOTAL FEES AMOUNT.PAID AMOUNT OWING
------------- ------..I --- -------------
$37.00 $3 .00 $.00
ISSUED PERMIT BY: WOL BRADBURN