1993, 02-04 PErmit: 92008163 RefundPv#
Dept
C' .'N -QPC:-..
VENDOR:
N tir'"' &. FIJ?_:L Ii'C•
,' • _ • f i
Vendor Contact/Tel
STEP TO:
EPS PAYMENT DOCUMENT
SPOKANE COUNTY AUDITOR
Codtradop Order
BILL TO:
Change Order #
Bid ID
Blanloet#
RC# Por_ GfCCC'u1
VI#
FOB:
ACCTG. PERIOD:
COMMENTS.
• / •
PO DATE:
DELIVERY DATE:
ENTERED HY•
JOEW
BLDG/ROOM:
WAREHOUSE:
COMM LN#
DESCR;PTION
BUYER
PUtCJ.ASING DIRRCTOR• DONALD L• LA3REC QUE
COMMbDITY NO 1 REF ACCT LINE
QUANTITY
UNIT
.67
100 D:.04 WEST HOLYOKE AVE
REFUND FOR 8011 EAST SINTO AVE-RRXXXWMAKKEVED CANCELLED - 80% REFUND
ail
UNIT PRICE
0.000000
0.000000
TOTAL PRICE
)00(S (-
37.00
aloak
30.40
PAGE TOTAL: 67.40 X4aE
GRAND TOTAL: 67.40 )0000D4400
LINE NO.
FUND
AGCY
Co 30
ORG
i0C:a,
0 is 8
SB ORO
ACT''
OBt
SE OBI
"REV SRC
2210
2210
`°SB Rl
07
07
RPT CAT
BS ACCT
TOB NO
PAY THIS AMOUNT I P/F
GRAND TOTAL:
3?0•4c)
29.6(.7
SIGNED
TITLE
PAYMENT CERTIFICATION
1, do bereby certify under penalty of perjury that sufldent funds have been budgeted for this daim, the
me 'cels have been 'she • , services rendered or labor performed as described berein or contracted for, that the claim is
a just, • ue and unpaid lip on spinet Spokane County or fund agency indicated above, that I am autborized to authenticate
and ce
ACCOUNTS PAYABLE
TRAVEL CERTIFICATION
I bereby 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
1
West 1303 Broadway Avenue
Spokane, WA 99260
1 Feb 93 Permits
ti
Banner Furnace and Fuel Inc.
X22 N Helena St.
Spokane, Wash. 99202
535-1711
Please cancel the following permits; 92010967, 920008163.
Request this company be credited for the permits.
THIS COPY FOR PERSON ADDRESSED
SIGNED
SIGNED
DP.;F REPLY
04*
u9-29-92
z 6, 4 7 9,
* 38.00
* 38,00
SPOKANE COONTY"DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
:his permit/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true
ipokane County to proceed with processing. In addition, I. have read and understand the INSPECTION REQUIREMENTS/NOTICE
Id agree to comply with same. All provisions of laws and ordinances governing this type of work will be complied with whether specified
at the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
tcel the provisions of any state or local law regulating construction, or as a warranty of conformance with the provisions of any state or local
APPLICATION
DATE
••x****PRt JECT NUMBER= 92008163'
/7-
• ,t• :***a
• ISSUED PERMIT •
DATE= 09/29/92. PAGE-- of
. 'SIT T.NF0F.MATTOi� > *a�a�a�• ••*
xlc* * •xa�****�:*•x•*•*it :xA•
/ /
SITE STREET= 0011 E SINTO AVE PARCEL..= 45182.0209
ADDRESS-. SPOKANE WA 99212
PERMIT USE.: GAS WATER HEATER & PIPING
PL AT a:=:: 002875 PLAT NAME= WEST VALLEY ADD N0.3
BLOCK= 4 LOT= 15 ZONED AGrSUB DIST -.
AREA== E/Ar:: F WIDTH: DEPTI•I:=:: R,`W=: 60
OF BLDGSr= 4 » DWELLINGS= 4 WATER DIST 4:
PHONE= 509 920 68;2
OWNER= YOUNG, STEVE
STREET= "801 1 E SINTO AVE
ADDRESS= SPOKANE WA 99212,
PHONE NUMBER= 909 r'�.>=:i 1 ; '� 1
CONTACT NAME= BANNER FURNACE FUEL
BO)i_D Ci (x; T r t�Er. ....; C' 'r, ^•% ap 1�I^il,, REAR= 1'l7A
***********x******************* MECHANICAL.. PERMIT ***********************x**
•
CONTRACTOR= BANNER FURNACE , FUEL CO INC
• STREET: , P 0 BOX 4346
ADDRESS= SPOK ANE WA 91202
ITEM DESCRIPTION
PROCESSTNG FEE
GAS HrG ECUIP4 4 00, 000)T:tTU
GAS PIPING
**********************3ra,:•x***3** PAYMENT SUMMARY ************* **********•x••x.*
PHONE= 509 535 17.11
QUANTITY FEE AMOUNT
4
12.00
1.00
PAYMENT DATE
09/29/92
TOTAL DUE=
RECEIPT :
8320 •
.00 TOTAL PAID= 38.00
PAYMENT AMOUNT
38.00
PERMIT TYPE. . FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 38.00 ;3[1.00 ,00
1 00 .. ,=3�s tin =7— - ,7PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVTCI'i, ROBIN
*******r *****************fie******. THANK YOU*ik************##ie*ii•x*•x**31:**** t•tt*ie