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2000, 10-24 Permit: 00008364 Refundendor ID HUNTCHAR I Voucher ID 00061619 Rel Vchr ID Dept ID Building and Code Enforcement VENDOR: Hunt, Charles M 1419 S Winter RD Spokane Vendor Contact/Tel WA 99212 SPOKANE COUNTY PAYMENT DOCUMENT SPOKANE COUNTY AUDITOR SHIP TO: BILL TO: PAGE 1 OF 1 RC# INV# 00-8364 ENTERED DATE : 10/24/2000 DESCRIPTION PO DATE: ENTERED BY: Patty Eickstadt INV ITEMIEr 1 80% of the Mechanical portion 0 BUYER: PURCHASING DIRECTOR: BELA G. KOVACS IMAMODANTITWOESDNUntagiMitgcmpiEpgiool:-wimiteraxTENDEttAmoubrEti; umaimtuserfEbmanswankswiromviik*. xamizistiosm 1.0000 EA 0 28.00 28.00 LINE NO. PROJECT 1 BACE Comments: f:Rft)NM:; ACTIVFFY ORG PROGRAM SUB -CLS: 1 RPT CAT 1 B. - kESTYPE:tig'':g:!;]Nig;CATEGORY-g]MtRsug.licAv.,,:p 1 221007 406 0300008 240 REFND 80% refunded of the mechanical portion of permit # 00-8364 = SITE LOCATION: 1419 S. WINTER RD., SPOKNAE WA 99212 2000 ReUNITIOit:WAVIERISSIOUNT :PROPIPONSASSEZPEGNI.:4&strwa PROJA DISCOUNT TOTAL: FREIGHT TOTAL: SALES TAX TOTAL: SUBTOTAL: USE TAX TOTAL: GRAND TOTAL: TOTAL TO VENDOR: N 28.00 .00 .00 .00 28.00 .00 28.00 28.00 RECEIVING CERTIFICATION Materials noted in quantity • have teen received in gocd condition or contracted for, SIGNED DATE 10/24/00 TITLE ACCT TECH 3 PAYMENT CERTIFICATION 1, the undersigned do hereby certify under penalty of perjury that sufficient funds have been budgeted for this claim, the materials have been furnished, services rendered or labor performed as described herein or for Is a just, d unpaid obligation apinst Spokane County or fund a Indkated above, I am abort:eat ;Ira. -imfint. and certify to said claim. SIGNED-.....— DATE TITLE 10/24/00 OFF E ADMINI TOR TRAVEL CERTIFICATION 1 hereby certify under penalty of perjury that this is a true and cornet claim far necessary expenses banned by ma and that no payment has been received by me on account Menet SIGNED DATE TITLE ESP CUN'IY nIVISION OF.BIJI.DING AND COBE §.4 AvFjr iui • ,5 ='�QQ27 477, 3(75' .' NFORCEMENT v33: c SITE INFORMATION PROJECT INFORMATION Site Address: Parcel Number: Subdivision: Block: Zoning: Owner: Address: Inspector: Water Dist: 1419 S WINTER RD SPOKANE, WA 99212 45193.0901 CURTIS PARK CLUB TRACTS 1 Lot: 1 UR -7 Urban Residential -7 HUNT, CHARLES M 1419 S WINTER RD SPOKANE, WA 99212 MARC STRAUB Project Number: 00008364 Inv: 1 Issue Date: 10/3/00 ermit Use: NEW DOUBLE WIDE MANUF HOME (REPLACEMENT) & PROPANE TANK Applicant: HUNT, CHARLES M 1419 5 WINTER RD SPOKANE, WA 99212 Phone: (509) 924-6780 Contact: HUNT, CHARLES M 1419 S WINTER RD SPOKANE, WA 99212 Phone: (509) 924-6780 etbacks - Front: 30 Left: 23.5 Right: 26.5 Rear: 15 Group Name: Project Name: l PERMIT(S) Mechanical Permit Contractor: OWNER License #: OWNER LPG TANKS GAS PIPING 1 $10.00 MINIMUM FEE ADJUSTMENT 1 $1.00 Total Permit Fee: $24.00 $35.00 Manufactured Home Contractor: OWNER License #: OWNER INSPECTION FEE 2 $100.00 COUNTY SURCHARGE Total Permit Fee: $22.00 $122.00 , %ase , '- cf 1 A- o lD-do - A/ale se re = 3 9°o 4- Ai- cxeeeA cu,1oe-b tfie bx4 q'ra az PAYMENT SUMMARY Page 1 of I NOTES PERMIT Processed By: SHATTO, JULIE Printed By: CUMMINGS, KATHY Tran Date 10/3/00 Total Fees $157.00 Receipt # 8397 AmountPaid $157.00 Payment Amt $157.00 AmountOwing $0.00 Reu I 5fQ l'+ Project Receipt Summary Tuesday, October 24, 2000 Page l of l Address 1419 S WINTER RD PROJECT#: 00008364 SPOKANE WA 99212 Owners Name: HUNT, CHARLES M Address: 1419 S WINTER RD SPOKANE, WA 99212 Phone: (509) 924-6780 Occupant: Phone: Applicant: HUNT, CHARLES M Phone: (509) 924-6780 Use: NEW DOUBLE WIDE MANUF HOME (REPLACEMENT) Application Date: 9/18/00 Permit Issue Date: 10/3/00 Receipt Nbr: 8397 Acct Account Description 00410 MECHANICAL PMTS 00510 RESIDENTIAL PMTS Receipt Nbr: 9175 Acct Account Description 00410 MECHANICAL PMTS AMOUNT REFUNDED Transaction Datefine: 10/3/00 8:52:40 AM Transaction Total Due Amount Paid P $35.00 $35.00 P $122.00 $122.00 $157.00 $157.00 Transaction Date/Time: 10/24/00 3:31:10 PM Transaction R Total Due $0.00 $0.00 Amount Paid $28.00 (328.00) nee PERKO POW