2010, 05-27 Permit: 10001476 RefundSpokane
11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206
♦509.720.5240 ♦ Fax: 509.688.0037 •
Memorandum
Date: 5/27/2010
To: FINANCE DEPARTMENT
From: JENNA DAVIS
CC: MARY KATE MCGEE
Re: REFUND —120 S TSCHIRLEY RD — MECHANICAL PERMIT —1 GAS PIPING
PROJECT NUMBER: 10001476
PROJECT ADDRESS: 120 S TSCHIRLEY RD
PROJECT TYPE: MECHANICAL PERMIT
REASON: Refunding Permit fee amount of $3 as work was cancelled by
the applicants customer.
REFUND TYPE: Per the currently adopted fee schedule, credit the applicants
Visa in the amount of $3.
GL ACCOUNT :
AUTHORIZED BY:
41 IL /1?a /Fse
DATE: 195-- 1 -
ORIGINAL TO FINANCE AND COPY TO FILE WITH PAPERWORK
Sfiok
�lery
Site. information •
PERMIT CENTER
11703 E. Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Project Information
Site Address: 120 $ TSCHIRLEY RD
Parcel Number: 55192.2802
Subdivision:
Block: Let:
Zones: MF -1 M12 MDR District
Owner: PORW, STEPHEN 11
Address: 320 S SULLIVAN
SPOKANE VALLEY, WA 99037
Building Inspector: EAST
Water Dist: CONSOLIDATED ID #19
Project Number! 10001476
Permit Use: 1 CAS P1P1NC
1 Issue Date: 05/24!2010
Applicant: SPOKANE HEATING AND COOLING
PO BOX 28929
sPOKAIVL WA 99228 Phone: (208) 755-8345.
Contact: SPOKANE HEATING AND COOLING
PO BOX 28929
SPOKANE WA 99228 ape: (208) 755-8345
Setbacks - Front: Left Rlgtu: Rear:
Group Name:
Project Name:
Pertnits
61Xechanical Petmtit contrsc1or. SPOKANE BEATING & COOL NG
GAS MEND
P'QR MECHANICAL INSPECTIONS CALL (500).688-0054.
License #: 'SPOKAHC902BM
$1.00 PROCESSING PEE
Total Permit Fee
$37.00
$38.00
Total Fees AmountPal4 AmountOwing
$38.00 $38.00 $0.00
05/24/210
,Receiut ft Payment Amt
22583 $38.00
iNN
Processed By: Mein. ,Lodi L
Printed By: MORRIS, HEATHER
Page 1 of 1
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PERMIT CENTER
11703 E. Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Site Information
Project Information
Site Address: 120 S TSCHIRLEY RD
Parcel Number: 55192.2802
Subdivision:
Block: Lot:
Zoning: MF -1 MF MDR District
Owner: FORD, STEPHEN H
Address: 320 S SULLIVAN
SPOKANE VALLEY, WA 99037
Building Inspector: EAST
Water Dist: CONSOLIDATED ID #19
Project Number: 10001476 Inv: 1 Issue Date: 05/24/2010
Permit Use: 1 GAS PIPING
Applicant: SPOKANE HEATING AND COOLING
PO BOX 28929
SPOKANE WA 99228 Phone: (208) 755-8345
Contact: SPOKANE HEATING AND COOLING
PO BOX 28929
SPOKANE WA 99228 Phone: (208) 755-8345
Setbacks - Front: Left: Right:
Group Name:
Project Name:
Rear:
Permits
Mechanical Permit
Contractor: SPOKANE HEATING & COOLING License #: SPOKAHC902BM
GAS PIPING 1 $1.00 PROCESSING FEE
FOR MECHANICAL INSPECTIONS CALL (509) 688-0054.
$37.00
Total Permit Fee: $38.00
Payment Summary
Total Fees AmountPaid AmountOwing
$38.00 $38.00 $0.00
Tran Date Receipt # Payment Amt
05/24/2010 22883 $38.00
Processed By: Main, Jodi L
Printed By: MORRIS, HEATHER Page 1 of 1
PERMIT
Receipt Number: 22883
Projects
City of Spokane Valley
Building Dept
Receipt
Customer Number
Project Nbr Inv Nbr Fee Amt Inv Amt
10001476 1 $38.00 $38.00
Miscellaneous Items
Full
Owing PAID Pmt
$38.00 $38.00 El
Total: $38.00 $38.00
$38.00 $38.00
Total PAID:
$38.00
Tender
Type Check Acct Balance CC Nbr Exp Date TENDERED
MasterCa
Notes:
Tran Date / Time:
By:
Logon User:
Station:
Override By:
Payer:
05/24/2010 11:41:33 AM
HMORRIS
BldgCounter
CX_SV00014A
Printed: 05/24/2010 11:41:34 AM
xxxxxxxxxxxx891 7 08/2013 38.00
Total TENDERED:
Over / (Short)
Change
CITY OF SPOKANE VALLEY
11707 E SPRAGUE AUE
SPOKANE UA, WA, 99206
TERMINAL ID.:
MERCHANT R:
10016752
000941000090804
MASTERCARD
4001313$018917 EXP:XX/XX KEY ENTERED
REFUND
BATCH: 000022 I NU : 000006
May 27, 10 16:59
TRAM SEQ #: 000959
OTAL
THANK YOU
CUSTOMER COPY
•
0
38.00
$0.00
$0.00
pen
4) -FL /z)
Page 1 of 1