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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 eldeal.N30 II1Q13d AS LE00889F;0R t'F:RA Gi TA7/17/CM CMA T7,171.1 •"*Na, *Wane jVailey. 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