1994, 04-28 Permit: 94003247 RefundItEFUN3
PY# vVJ4269L.J..1
Dept n'n — .NFORC;
VSNDOR:
STURM HEATING, INC.
EAST 204 INDIANA
SPOKANE? WA 99207
LGFS PAYMENT DOCUMENT
SPOKANE COUNTY AUDITOR
Sim TO: HILL TO:
Vendor CORacUTel Cordhutq Order
G ange Order #
Bd ID
Blanket#
RC#
V1#
FOB:
ACCTG. PERIOD:
.OMMENTS•
PO DATE:
DELIVERY DATE:
ENTERED BY
JOEL1
BLDG/ROOM:
WAREHOUSE:
BUYER
PURCHASING DIRECTOR
DONALD L. LABRECQU:
COMM LN#
DESCRIPTION
COMMODITY NO
REF ACCT LINE
QUANTITY
UNIT
UNIT PRICE
TOTAL PRICE
894003247 610 N. WILLOW - PROJECT CANCELED 80% REFUND
80% X $36.00 = $28.80
•
GINE NO, I FUND
AGCY
ORG
SB ORG I ACT
OBI
SB OBI
REV SRC
0.000000 23.80
PAGE TOTAL:
GRANC TOTAL:
SB REV I RPT CAT I BS ACCT ( 108 NO.
23.80
28.80
PAY THIS AMOUNT
P/F
01
406
030 0008
2210
C7
28.80
GRANO TOTAL: 23.80
RECEIVING CE • IFICATION PAYMENT CERTIFICATION TRAVEL CERTIFICATION
Materiels noted in qua • .ve been l,,the undersigned'dobereby certify under penalty of perjury that sufficient funds have been budgeted for this claim, the 1 hereby certi4f under penalty of perjury that this
received in good condid. •r contracted for. m ads have been furnished, services rendered or labor performed as described herein or contracted for, that the claim is is a true and corns claim for ncenary expenses
e j due and unpaid o ligadgaunt Spokane County or fund agency indicated above, that 1 am authorized to authenticate incurred by me and that no payment has been received
SIGNE. ,and ce to said
f claim.
aim. (//ayes / by me on account thereof.
TITLE C I SIGNED \• �yry' I TITLE SIGNED TITLE
DATE " J DATE I / T 4T / Cl
DEPARTMENT2
DATE PAGE
1
TRANE N
4 II- - - • -
STURM Heating, Inc.
PHONE (509) 325-4505
FAX (509) 328-4819
EAST 204 INDIANA
SPOKANE, WA 99207
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W 1026 BROADWAY
SPOKANE WA 99260-0050
TO WHOM IT MAY CONCERN:
Please cancel and refund the permit for:
Behrens
610 N Willow Rd
Project # 94003247
Issued 4-18-94
$36.00
is job was cancelled. Thank you.
LY •A MULLIS
STURM HEATING
IAJALLu3
Carrier,
April 21, 1994
4
de
•
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
WEST 1026 BROADWAY • SPOKANE, WA 99260-0050
(509) 456-3675
SITE INFORMATION PROJECT INFORMATION
SITE ADDRESS: 610 N WILLOW RD
SPOKANE WA 99206
PARCEL NUMBER: 45173.0419
SUBDIVISION: OPPORTUNITY SUB.TR.99
LOT: BLOCK: 99 ZONE: SFR
INSPECTOR: DAVE SILVA
WATER DIST:
OWNER: BEHRENS
PHONE: 509 926 6520
ADDRESS: 61011 WILLOW RD
SPOKANE WA 99206
PROJECT NUMBER: 94003247 ISSUE DATE: 04/18/94
PERMIT USE: GAS WATER HEATER, Si PIPING
APPLICANT: STURM HEATING
PHONE: 509 325 4505
ADDRESS: 000200 E INDIANA
SPOKANE WA 99207
CONTACT: STURM HEATING PHONE: 509 325 4505
SETBACKS -> FRONT: NA LEFT: NA RIGHT: NA REAR: NA
LENDER NAME:
PHONE:
ADDRESS:
PERMIT(S)
M CHA CA . ''
CONTRACTOR
STURM HEATING
LICENSE #: STURMI*2100F
GAS
GAS
PROCESSING
TOTAL
WATER HEATER
1
PIPING
1
FEE
25.00
PERMIT FEE
$36.00
C
PAYMENT SUMMARY
NOTES
l
PAYMENT DATE RECEIPT# PAYMENT AMOUNT
04/18/94 00003979
TOTAL FEES
$36.00
$36.00
AMOUNT PAID AMOUNT OWING
S36.00 $.00
ISSUED PERMIT BY: DAWN DOMPIER
e(so