1999, 03-02 Permit: 99001503 Plumbing Reversal ..r .
SPOKANE COUNTY DIVISION OF BUILDING AND PLANNING
1026 W. BROADWAY • SPOKANE,WA 99260-0050
(509)456-3675
SITE INFORMATION PROJECT INFORMATION
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Site Address: 108 N WALNUT RD Project Number: 99001503 Inv: 1 Issue Date:
SPOKANE,WA 99206 Permit Use: INT PLBG REVERSAL
Parcel Number: 45174.2610 Applicant: H&S CONSTRUCTION
Subdivision: OPPORTUNITY PLAT 3 Pho i••• (509)926-8964
Zoning: SFR Addr :.'I 11817 E.VALLEYWAY AVE
Owner: NIHART,HERALD SPOKANE WA 99206
Address: 108 N WALNUT RD ontact: LEONARD/H&S Phone: (509)926-8964
SPOKANE,WA 99206 11817 E VALLEWA
Inspector: NONE SPOKANE WA 9920
Water Dist: Set'acks-Front: Left: Right: Rear:
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1, PERMIT(S)
Plumbing Permit Contractor: JACKSON PLUMBING license#: JACKSP*055NS '
WATER PIPING-DWV 1 $6.00 PROCESSING FEE $25.00
MINIMUM FEE ADJUSTMENT $4.00
Total Permit Fee: $35.00
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PAYMENT SUMMARY Page 1 of 1 NOTES
PERMIT By: SHATTO,JULIE
Tran Date Receipt# Payment Amt
3/2/99 1358 $35.00
Total Fees AmountPaid AmountOwing
$35.00 $35.00 $0.00
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Refund Type .:
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Original Refund Refund ,
Prat Account Amount Fee Invoice Refund Refund ,;
Type Description Paid Amount Amount Percent Amount
MI PL PLUMOING PMIS $35.00 $35.00 035.00 8O-0 $28.00 - +
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alu de k Accept
Doc ID: 99-1503 [Espiration Date:
Reason Cancelled OUX Bernd' l
d w/MY030290032 Cancel
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99001503 2 PLUMBIN6PMTS (928.001 E K Checks 99-1503 ($28 00) pL3
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Total Projects: laze Bol ; , Nat Tendered
J Change'." Sll DD 2;
Net Tendered [$26�]
Total Mrsc :..:... ..•...w. ,.r
• Reason: Cancelled000 relnd'd = ,
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r, U5D LGFS PAYMENT DOCUMENT PV MV0302900:
Pv# MVfl707,901332 SPOKANE COUNTY AUDITOR
Dept Change Order#
— ;bUILD C PLAN
VENDOR: SHIP TO: Bid ID
BILL TO: Blanket#
NCS CrNSTRUCTION
X11317 E VALLEYWAY AVE
SPOKANE WA 99206 99-1503
VI#
Vendor Contact/Tel Confirming Order
FOB: PO DATE: BLDG/ROOM: BUYER
ACCTG. PERIOD: j 3/9 9 DELIVERY DATE: WAREHOUSE:
COMMENTS: ENTERED BY: tP A TiP T!' T A F T C K S T A D T PURCHASING DIRECTOR: 0 O N A I 3 ! • I A-'R`C O 1.
1 COMM LN# DESCRIPTION
COMMODITY NO REF ACCT LINE QUANTITY UNIT UNIT PRICE TOTAL PRICE
80%, C ANC.E°LLE D.iTkX0 974,==-15-£1-3 _..
,,, 23.00
SITE: 108 N WALNUT RD
SPOKANE WA 99206
, 4.......:__------------
\ PAGE TOTAL: `8. 00
DISCOUNT TOTAL: 0.00
FREIGHT TOTAL: 0.00
TAX TOTAL: 0.00
PURCHASE ORDER VALUE: 28.00
USE TAX TOTAL: 0.00
GRAND TOTAL: 28.00
LINE NO. FUND AGCY ORG SB ORG ACT OBI SB OBI REV SRC SB REV RPT CAT BS ACCT JOB NO. PAY THIS AMOUNT P/F
3 1 -06 330 0003 2210 03 23. 00
TOTAL TO VENDOR: 23. 00
RECEIV RTIFICATION PAYMENT CERTIFICATION TRAVEL CERTIFICATION
'aterialsdth
qua ity✓have been I,t •undersr :. do h:eby certify en. penalty of perjury that sufficient funds have been budgeted for this claim,the I hereby certify under penalty of perjury that this
re livedcondi o,'or .ntracted for mate'.1s have been . .i•sed,services re dered or labor performed as described herein or contracted for,that the claim is is a true and correct claim for necessary expenses
0, Ir r/ a Just,..e and unpaid ob .tion agai : Spokane County or fund agency indicated above,that I am authorized to authenticate incurred by me and that no payment has been received
SIGN Pa IL etAl and certify said claim. by me on account thereof.
TITLE ACC T CH SIGNED ".__ • TITLE OFFICE ADMINISTRATOR SIGNED TITLE
DATE 3/3/99 DATE 3/3/99 \ DATE PAGE
ACCOUNTS PAYABLE