1999, 04-13 Permit: 99002068 RefundREFUND
PV# MV041203 34
Opt
030 — B011:13 .. PLAN
VENDOR:
WHIT'7t DOUGLA5
11902 E VALLE:YWAY
S,"nKAIN E WA 992;;;6
Vendor Contact/Tel
SHIP TO:
FOB: PO DATE:
ACCTG. PERIOD: 4 /9 DELIVERY DATE:
LGFS PAYMENT DOCUMENT
SPOKANE COUNTY AUDITOR
Confirminq Order
BILL TO:
BLDG/ROOM:
WAREHOUSE:
st
PV MV041290034
Change Order # l
Bid ID
Blanket#
RC#
e9-2L�03
VI#
'HN'- IN VALUATION
PRJ # 99-2068 12. 20
SITE: 11902 E. VALLEYWAY AVE.
SPOKANE WA 99206-5129
P AG E
TOTAL:
12.20
DISCOUNT
TOTAL:
0.00
(I I FREIGHT
j SALES TAX
TOTAL:
TOTAL:
0.00
0.00
PURCHASE: ORDER
VALUE:
12.20
USE TAX
TOTAL:
0.00
GRAND
TOTAL:
12.20
11 406 D 3 0 0003 2210 }2 12.20
l.L'Ktrdil'1C 11;A 1111111in qu✓havebeenI conVon or contracted
PAYMENT CERTIFICATION
I, tha�h.,en
ertify u er penalty of perjury [hat sufficient funds have been budgeted for this claim, the
mater, servicesendered or labor performed as described herein or contracted Poq that the claim is
nag st Spokane County or fund agency indicated above, that 1 am authorized to authenticate
TOTAL TO VENDOR: 12.2.0
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.
[t' -C SIGNED A TITLE T MTNTSTRATOR SIGNED TITLE
,ATE - 4/13/99 DATE __ 4�13� y DATE PAGE
SPOKANE COUNTY DIVISION.
OF BUILDING AND PI -INNING
1026 W! BROADWAY • SPOKANE, WA 99260-0050
(509) 456-3675
SITE INFO
RMATTON
Site Address: 11902 C VALLEYWAYAVE PROJEC INFORMATION
Spokane, WA 99206 Project Number 99002068 V Inv: �1 —Issue Date:
Parcel Number: 45164.0396 iPermit Use: 36 X 30 DETACHED STORAGE BUILDING
t
Subdivision: OPP.TR. 1-354 Applicant: WfRTE DOUGLAS
Zoning: UR 3 Urtkut Residential 3.5 Phone: (509) 924-9830
Address: 11902 E VALLEYWAYAVE
Owner: WIRTE, DOUGLAS SPOKANE, WA 99206-5129
Address: 11902 E VALLEYWAYAVE x
SContact: WHITE, DOUGLAS
SPOKANE, WA 99206-5129
11902 E VALLEY Phone: (509) 924-9830
�
Inspector: BOBBY STONE SPOKANE, WA 992
Water Dist: Setbacks -Front: 50+
� Left: S Right: 25 Rear: S
BuildinP Pelmil Contractor: MOMB STEEL BUILDINGS License #:
New Building MOMBSBIosRQZ
L_ STORAGE U-1 VN 1,080
Dim: 36 X 30 RESIDENITAL VALUATION $200.50
1 Ston Total Value: STATE SURCHARGE
Sq Ft: 1,OR0 $12,960.00 $4.50
RESIDENTIAL SURCHARGE $44.11
Total Permit Fee: $249.11
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NOTES
!ran Rec�i Pyr m_ M Atnt
417!99 _'S�1 S249.11
Tota-- l Fees AmountPaid Amou r
$249.11 S_49.11
50.00
!I Ede : E?ft IT t, ;Records
Window
Eees to be Refunded Refund Amount'
RevwrdAsroravL'
_......_. Refund Type
( Voucher f Credit Card
Pratt Account • Original:
Amount
Type Description - P
aid
BU RESIDCN/IAL PMTS $24461
Total Refunded 212.20
Doc ID: 14V041290034 Expiration Dale:
Reason: VALUATION CHANGE ON PRJR 99002068
Pomo View - -- -
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Start.l y PafoI It..' ID.EXTRAI ...) SNA Ser.:.( elE"Gkstad.I1JIPLUS .. .
{APS;:
j
Receipt Nbr 2676 Tran Type Refund Invoke Nbr 2 Transection Date 4712/99 t12:52 PM •
N
Notes VALUATION CHANGE ON 1'R.Ir/9l002000
Tenet 10 P[icksta
User ID PErcksta _ Tran Type: -;Refund
Ti.rdwrON.aiih . Tena6rArnveNt- «: .. .
Prof / Correa Inv 'Acct Desc ' Tran And,: €Type'; Doc ID, :Tender
99002050 2 RCSIDCNTIAL. PMTS 1 `
(5/220j K Checkl MV0417900. (=12.20(
Change: 60.00
Net Tendered: ($12.20)
Total Muc - L Reason: VALUAI ION CHANGE UN PI148 i
....... 990112069
Tran Over/(Short): - $0.00
Net Transaction ($12.20)
Ra Racdc j1 1 . l ri 1. rI d 1 lriatd7
Form View
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