1996, 12-26 Permit: 96010678 RefundPv# NV122460006
Dept
VENDOR:
FALCO GARDEN CENTER
9310E SPRAGUE AVE
SPOKANE
030 CODE ENFORCE
Vendor Contact/Tel
WA 99206
SHIP TO:
FOB:
ACCTG. PERIOD: 12/96
COMMENTS:
COMM LN# I DESCRIPTION
COMMODITY NO
PO DATE:
DELIVERY DATE:
ENTERED BY:
— — — --- - — — v i.i A.M.
SPOKANE COUNTY AUDITOR
Confirming Order
BILL TO:
:,, w A L G T U LJ U
Change Order #
Bid ID
Blanket#
RC#
VI#
BLDG/ROOM:
WAR
PATRICIA EICKSTADTEHOusE:
REF ACCT LINE 1 QUANTITY I UNIT
BUYER
PURCHASING DIRECTOR: DONALD L. L A B R E C Q t
80%, CANCELLED,PRJw96-10678
SITE: 1306 S. ROBINHOOD ST.
SPOKANE WA 99206
DIST "G"
CE
erials
'ved
ARG 1 SB OR G 1 ACT 1 OBI
406 030 0008
CERTIFICATION
n 9u' 'ty / have been
or contra. for.
SIGNET.
.IE ACCT ECH III
DATE 12/26/96
TIFICATION
hereby certify under pen
hed, services rende
n against
REV SRC
2210
SB REV
07
UNIT PRICE
PAGE TOTAL:
DISCOUNT TOTAL:
FREIGHT TOTAL:
SALES TAX TOTAL:
PURCHASE ORDER VALUE:
USE TAX TOTAL:
GRAND TOTAL:
RPT CAT IBS ACCTI JOB NO.
TOTAL TO VENDOR:
TOTAL PRICE
28+80
28+3)
0.00
0.30
0.00
28.50
28.30
PAY THIS AMOUNT
28.90
28.30
P/F
ty of perjury that sufficient funds have been budgeted for this claim, the
or labor performed as described herein or contracted for, that the claim is
e County or fund agency indicated above, that I am authorized to authenticate
SIGNED
DATE 12/26/96
OFFICE ADMINISTRATOR
ACCOUNTS PAYABLE
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
PAGE
i
g A X
hits 11mdin. Cent k, 3na.
93108.*aced .
spa., 'WA 94206
509-926-8911
hoz 509-928-4029
Of:
From:
Pages including cover: CP—‘
Comments:
Time:
FAX:
Phone:
bwee-es (m-fon.0
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lPOKHAN E COUNTY DIVISION OF B * AND PLANNING'
G
1026 W. BROADWAY • SPOKANE; WA 99260-0050 '
(509) 456-3675
c
SITE INFORMATION
PROJECT INFORMATION
SITE ADDRESS: 1306 8 ROBINHOOD ST
SPOKANE WA 99206
PARCEL NUMBER: 45203.1109
SUBDIVISION: SHERW00D FOREST (WHISPE G PI
LOT: 9 BLOCK: 1 ZONE: 8
INSPECTOR: FRANK PALADICHUK
WATER DIST:
OWNER: STOVER, DENNIS
PHONE: 509 926 4987
ADDRESS: 1306 8 ROBINHOOD ST
SPOKANE WA 99206
MECHANICAL PERMIT
CONTRACTOR
FALCO GARDEN CENTER INC
LICENSE 1: FALCOGCI73DU
GAS L00 CO GAS INSERT
GAS PIPING 1
PROCESSING FEE
TOTAL PERMIT FEE
25.00
836.00
PAYMENT S
PAYMENT DATE RECEIPTS
PROJECT NUMBER: 96010678 ISSUE DATE: 12/10/96
PERMIT USE: GAS LOG AND PIPING
APPLICANT: FALCO GARDEN CENTER
PHONE: 509 926 8911
ADDRESS: 9310 E SPRAGUE AVE
SPOKANE WA 99206
CONTACT: SUZANNE
SETBACKS -> FRONT: NA LEFT: RIGHT: NA REAR: NA
PHONE: 509 926 8911
LENDER NAME:
PHONE:
ADDRESS:
(8)
12/10/96 00013068 836.00
TOTAL FEES AMOUNT PAID AMOUNT OWING
536.00 836.00 8.00
ISSUED PERMIT BY: CHRISTY HARGRAVE
NoTEs