1997, 10-08 Permit: 97008040 RefundPv#
Dept
REFUND .1, s
MV100770017 •^
030 BUILD E .PLAN
VENDOR:
A B CONSTRUCTION
4547 E DEER LAKE RD
LOON LAKE
Vendor Contact/fel
WA 99148
SHIP TO:
LGFS P
SP
Confirming Order
MENT DOCUMENT
E COUNTY AUDITOR
BILL TO:
PV MV100770017
Change Order#
Bid ID
Blanket#
RCA
VIA
FOB:
ACCTG. PERIOD: 10/97
COMMENTS:
PO DATE BLDGJROOM:
DELIVERY DATE: WAREHOUSE:
ENTERED BY: PATRICIA EICKSTADT
BUYER
jVRCHASINGDIRECTOR:DONALD L. LABRECQUE
COMM LNIt
DIST: "E"
DESCR1P77ON .5 .
ky COMMODIYY10 s4
L-sliERlkCC(UNE
<AAA / `, u'. SULRn."
• -1jjfT PRICEm.
" TOTALr PRICE
100A. ENTERED IN ERROR
PERMIT NEEDE THROUGH L & I
PRJS 97008040
SITE: 4510 E 7TH AVE.
SPOKANE WA 99206
PAGE TOTAL:
DISCOUNT TOTAL:
FREIGHT TOTAL:
SALES TAX TOTAL:
PURCHASE ORDER VALUE:
USE TAX TOTAL:
GRAND TOTAL:
43.62
4.50
e
48.12-
0.00
8.120.00
0.00
0.00
48.12
0.00
48.12
LINENO'
"FUND
-AGCY•
ORG
ORG
ACT ..
OBI
SB OBI
REV SRC
SB REV
RPT CAT
B5 ACCT
IOB NO
PAY THIS AMOUNT
P/F
01 406 030 0008
02 N20 675
2420
2210
02
3700
TOTAL TO VENDOR:
43.62
4.50
48.12
SI
ere
minty
CEIVTIFICATION
w ty
P
CATIO
rill
u Mer • ty of perjury that .ullltlml feuds hare been budgeted for thh dabon the
us node or labor performed as described herein or contracted for, that the dbin I.
ort Sp! • County or fund agency Indicated above. Wt l m authorized to authenticate
DATE 10/08/97
DATE
10/08/97
=LE...OFFICE ADMINISTRATOR
ACCOUNTS PAYABLE
TRAVEL CERTIFICATION
1 hereby m116 under penalty of perjury that this
correct elmf movenminims
lammed by m and that no payment has been marred
by me en account thenal.
SIGNED TITLE
DATE
1
PAGE
SPOKANE .COUNTY DIVISION OF BUILDING AND PLANNINt
Y0?6 W =BROADWAY.' • SPOKANE, WA 9926070050''" ,.9
(509)456-3675
(
SITE INFORMATION
PROJECT INFORMATION
SITE ADDRESS: 4510 E 7TH AVE
SPOKANE WA 99206
PARCEL NUMBER: 35232.4413
SUBDIVISION: CARNHOPE ADD
LOT: 4 BLOCK: 15 20NE: UR -3.5
INSPECTOR: NONE
WATER DIST:
OWNER: WILLIAMSON, DORIS & ARTHUR
PHONE: 509 534 2039
ADDRESS: 515 S MCKINNON RD
SPOKANE WA 99212
PROJECT NUMBER: 97008040 ISSUE DATE: 10/03/97
PERMIT USE: RE -ROOF MOBILE HOME COVER
APPLICANT: A B CONSTRUCTION
PHONE: 509 233 2647
ADDRESS: 4547 E DEER LAKE RD
LOON LAKE WA 99148
CONTACT: A B CONSTRUCTION PHONE: 509 233 2647
SETBACKS -> FRONT: N/A LEFT: N/A RIGHT: N/A REAR: N/A
ENDER NAME:
PHONE:
ADDRESS:
(
PERMIT(S)
BUILDING PERMIT
CONTRACTOR
A & B CONSTRUCTION
LICENSE #: ABCON==093KC
NEW BUILDING
DIM.= X
SD FT=
RE -ROOF R-3 VN
STORIES
TOTAL VALUE: S1,000.00
RESIDENTIAL VALUATION 35.75
RESIDENTIAL SURCHARGE 7.87
STATE SURCHARGE 4.50
TOTAL PERMIT FEE 848.12
loo°lo 1
1-4Q%-ecc
43.62,t gado4.6m 4 Ian
-
ec
rev -
9,
75 3-00
PAYMENT SUMMARY
PAYMENT DATE RECEIPT# PAYMENT AMOUNT
10/03/97 00009877 $48.12
TOTAL FEES AMOUNT PAID AMOUNT OWING
$48.12 $48.12 $.00
ISSUED PERMIT BY: WENDEL, GLORIA
1
NOTES
401
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