1999, 04-26 Permit: 99002992 RefundREFUND
Pv# MV042390019
Dept
PLAN
VENDOR:
Z—BEST CONSTRUCTION
PG BOX 13421
SPOKANE kA 9921---
Vendor
921:Vendor ContacVPel
FOB:
ACCTG. PERIOD: 04/99
COMMENTS:
SHIP TO:
PO DATE:
DELIVERY DATE:
ENTERED BY:
LGFS PAYMENT DOCUMENT
SPOKANE COUNTY AUDITOR
8011 CANCELLED! PRJ4199-2992
Confirming Order
SITE: 1219 S PIERCE RD
SPOKANE WA 99206
C"1 406 430 0OC8
RECEIVIN ERTIFICATION PAY EN 1
M erials no qu ity V have been
1, the undersigned do I
rece ed in tion or contracted for.
materials have been fu
SIG*
SIGNE
a just, dueq�\an! unpaid
_
and certify3�tah
CT T CH 3
TITLE
SIGNED
DATE 4/26/99
DATE 4/
BILL TO:
BLDG/ROOM:
WAREHOUSE:
221_
PRICE
PAGE TOTAL:
DISCOUNT TOTAL.'
FREIGHT TOTAL:
SALES TAX TOTAL:
PURCHASE ORDER VALUE:
USE TAX TOTAL:
GRAND TOTAL:
TION
certify under penalty of perjury that sufficient funds have been budgeted for this claim, the
services rend, or labor performed as described herein or contracted foq that the claim is
t against Spok ne County or rund agency iadiealed above, that I am ruthorized to autbentieale
TITLE OFFICE ADMINISTRATOR
PV
Change Order #
Bid ID
Blanket#
MVC42391:Ct1
RC#
VI# 9"2992
BELA G• ICO
34.40
34.40
0*00
0000
0000
34.40
0*00
34.40
34.40
TOTAL TO VENDOR: 34.41,
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 1
Vendor ID ZBESCONS SPOKANE COUNTY PAYMENT DOCUMENT
Voucher ID MPAE2319 SPOKANE COUNTY AUDITOR
Rel Vchr ID
Dept ID BUILD & PLAN - BUILDING & PLAN
VENDOR: SHIP TO: BILL TO:
Z Best Construction
7816 E Broadway
Spokane WA 99212
PAGE 1 OF 1
RC#
INV# 99-2992
Vendor ContacUTel
ENTERED DATE: 04/26/1999 PO DATE: BUYER:
ENTERED BY: Patty Eickstadt PURCHASING DIRECTOR: BELA G. KOVACS
LINE NO. DESCRIPTION » INV ITEM ID QUANTITY UNIT UNIT PRICE EXTENDED AMOUNT:
PO# GHG ORD# PO LINE# PO SCHED# CONTRACT#
1 80%, Cancelled Prmt #99-2992 .0000 .00 34AU
0 0
LINE NO. DISTRIB iLINE ACCOUNT FUND ORG PROGRAM I SUB -CLS I RPT CAT B. YR PC UNIT PAY THIS AMOUNT
PROJECT ACTIVITY RESOURCE TYPE « CATEGORY SUB CAT AM UNIT PROFILE ASSET FLG ASSET ID
1 1 221007 406 0300008
DOBP 240 REFND
Comments: Project # 99002992 Site: 1219 S. Pierce Rd, Spokane WA 99206
RECEIVING CERTIFICATION
Materials noted in quantity • have been received in good condition or
contracted for.
1
i
SIGNED
DATE 4/26/99 TITLE ACCT TECH 3
PAYMENT CERTIFICATION
I, the undersigned do hereby certify under penalty of perjury that sufficient funds have been budgeted
for this claim, the materials have been furnished, services rendered or labor performed as described
herein or contracted for, thattt�the claim is a just, due and unpaid obligation against Spokane County
or fund agency indicated above,�that I am authorized to authenticate mud certify to said claim.
SIGNED
DATE 4/26/99 TITLE OFFICE ADMINISTRATOR
1999 FRUJA 34.4
N
DISCOUNT TOTAL:
.00
FREIGHT TOTAL:
.00
SALES TAX TOTAL:
.00
SUBTOTAL:
34.40
USE TAX TOTAL:
.00
GRAND TOTAL:
34.40
TOTAL TO VENDOR: 34.40
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 we on account thereof.
SIGNED
DATE TITLE
.11. PLUS - Pesmits Land Use System
I Elle Eat Insert accords Windorr be
Refunds
Type of Refund
Receipt I Project Acct II:dance
Eees to be Refunded Refund. Amount I
Rafand Amount*
Punt Account
Type Description
PL PLUMBING PMT5
St.,/ FIE NTIAI PM
Original Refund Refund
Amount Fee Invoice Refund Refund
Paid Amount Amount Percent Amount
6430)3 043 00 24100 80.0 034.40
0)50) 31500 015 00 0.0 00.00
Total Refunded: 634.40
Doc ID: MV042390019 Expiration Date:
Reason: Permit cancelled:80Z rfncl'd
rirm View
777 7-7777,77.:r I mr4
Start ft Finish.... EXTR... geSNA... SXS Micros. I Eicksea. Prooes...1 Pnt-11...
:1Ktitt4,Pitniniti (:" '
ROM
11 Do
Kdt loam Ilecodls WI0dOw beIp
LI
1:49 P14
Projeas I Project Number 99002992 Dist: r DO 1307STONE
i Group: J Project Name:
Ste: 57325
Applicant I 5_ite Address I I nyoico Status I Actions I Eees 1 Miestones 1 •Conditions 1 learn
lospections Payment History I Renewals I Characteristics I Event Log I Riling
Receipt Nbr 3074 Trim Type Refund Invoice Nbr 2 Transaction Date 1.'2319 150737 PM
Notes Permit canceiledAtt% rfnd'd Teller 10 Pficksta
83 Transaction Detail
.40 Date/Time dareak..,laik.1 User ID PI rcksta Tran Type: Refund
Traaractian Df Tand.,,Aun,,2,/x
Pro) / Comm Acct Desc Tian Ant Type Doc ID Tender
030033? 2 PLUMBING PMTS (034 40) K Checkl MV0423900 (034 10)
Total Projects: (034.40) ; Net Tendered: ($34.40)
Change00.00
Net Tendered (034.40)
:
; Total hlisc:
J Reason: Permit cancelled,f10X rfrord
Net Transaction. (034 10)
00.00 ,
Tran Overi(Short):
or li el or 1 (TIlisierl)
Record ..12.1_j I
fimPsymert.. raT,Te.i.
..orm Slav - :eiTi1111.xxx.e.111.
O'filictos... I jilMentral AProces...11iDPLU... r...91nborr ..,1 o• React ...1
liStarti ME's:lithe-1 EXTR.., !SNAS.,. I ISMiciot:;
SPOKANE COUNTY DIVISION
OF BUILDING AND PLANNING
1026 W. BROADWAY . SPOKANE, WA 99260-0050
(509) 456-3675 I
SITE INFORMATION
PROJECT INFORMATION
Site Address: 1219 S PIERCE RD
Project Number: 99002992 Inv: 1 Issue Date:
Spokane, WA 99206
Parcel Number: 45213.9169 'Permit Use: R -IN BATH/SEWER CONNECT/OLD ORCHARD
Subdivision: UNKNOWN i
Applicant: Z -BEST CONST.
Zoning: B-1 Neighborhood BusinessPhone: (509) 891-9949
Address:
POB. 13421
Owner: KINDRED, CHERYL, B SPOKANE, VIA. 99213
Address: 1219 S PIERCE RD Contact:
SPOKANE, WA 99206-5535 MARY/Z-BEST Phone: (509) 891-9949
PO BOX 13421
Inspector:�� SPOKANE WA 9921
Water Dist: j Setbacks - Front: Left: Right: Rear:
PERMIT(S) ' r
Plumhinr Permit Contractor: YOUNG'S PLUMBING License #: YOUNGP*033PM
TOILETS/BIDETS 1 $6.00 SINKS 1 $6.00
SHOWERS 1 $6.00 PROCESSING FEE $25.00
Total Permit Fee: 0, $43.00
femur Permit Contractor: Z BEST CONSTRUC^.1_ON License #: ZBESTC+07?RH �(.0 C)
SEWER CONNECTION 1 $85.00 PROCESSING FEE rtI0 .14 y ��
$15.00
1 !J
ri 00—
\J
PAYMENT`SUMMARY age
PERMIT By: SHATTO, JULIE i
Tran Date Receiat # Payment Amt
4/14/99 2738 $143.00
Total Fees AmountPaid AmountOwin�
$143.00 $143.00 $0.00
1 of 1
Total Permit Fee: $100.00
SEWER -CONNECTION
PERMIT
E 'N
CTO
. J 4177=3604
OIti : .,.-,KI G DAY NOTICE REQ'D
PERMIT MUST BE ON JOBSITE.