1992, 12-03 Permit: 92010623 Water Heater, Piping SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE • ti ,
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/application,state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same.All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not.I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
ADDRE ZPOKANE WA 99206
PLATO- 00'139 PLAT NAME.. KOKOMO TOWNETTE
AREA- 00000000
OWNER- E.I.BLERUD , LONNIE E
1306 E 1S7H AVE
N/A
mECHANICAL RERmif .. .. .. .. .. .. .. .. :. .. .. :. .... :. .. .. .. .. . . .. .. ..
gPOKANE 9921S
ITEM DECRIPTION QUANTITY
WATER HEATER
PIPINO
PAYMENT DATE PAYMENT ACUNT
12/0 /92
........................................ .......
TOTAL DUE- , 00 TOTAL PAID.,
PERMT.T TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWINi7,
ECHANIOAL RRMT 36, 00 36 , 00 , 00
.i.
s ~1
l ,
• I I I I
I I • I I I I
• PLUMBING • HEATING • ELECTRICAL
„�edt samec�• Se'wce"•
2-11-93
Attn: Bob Eugene
C AY OF SPOKANE DING SERVICES
Skyw. . L- - , Municipal Building
W. 8• ' po ane a s Blvd.
S• •kane, Wa 99201-3352
RE: E 11306 18th Lonnie Siblerud
The Customer Has Decided Not To Go With KTU On
The Washington Water Power Conversion Program. Please
Refund KTU For The Permit Taken Out At This Address,
At Your Soonest Possible Convenience.
4=a �
w
9
--cur" ,. Thankyou
_� „:31 Sincerely,
c513 KTU OF SPOKANE
EAST 88 WESTVIEW • SPOKANE,WASHINGTON 99208 • 467-4000 • Contr. Lic. KTU SPI 153 MA
I
EPS PAYMENT DOCUMENT
Pv# SPOKANE COUNTY AUDITOR Change Order#
Dept ._
Bid ID
VENDOR: SHIP TO: BILL TO: Blanloet#
KT,„-
EAST88WESTIIEW RC#
SPOKANE, W ' 39203
vI#
Vendor Contact/Sel Confirming Order
FOB: PO DATE: BLDG/ROOM: BUYER
ACCTG.PERIOD: DELIVERY DATE: WAREHOUSE:
COMMENTS: ENTERED BY. PURCHASING DIRECTOR- ''
COMM LN# DESCRIPTION
COMMODITY NO REF ACCT LINE QUANTITY UNIT UNIT PRICE TOTAL PRICE
30% FOR 11306 EAST 18TH AVENUE PER COPY OF PERMIT & LEIRI
80% X 36.00 = 28.80
PAGE TOTAL:
T�IN1 NO. I FUND l AGCY I ORG SB ORG 1 ACT OBI SB OBI REV SRC SB REV I RPT CAT BS ACCT JOB NO. PAY THIS AMOUNT P/F
=.AN r TOTAL :
RECEIVING CERTIFICATION PAYMENT CERTIFICATION TRAVEL CERTIFICATION
Materials noted in quantity /have been 1,the undersigned do hereby certify under penalty of perjury that sufficient funds have been budgeted for this claim,the I hereby certify under penalty of perjury that this
received in good condition or contracted for, materials have been furnished,services rendered or labor performed as described herein or contracted for,that the claim is is a true and correct claim for necessary expenses
a just,due and unpaid obligation against Spokane County or fund agency indicated above,that I am authorized to authenticate incurred by me and that no payment has been received
SIGNED and certify to said claim, by me on account thereof.
TITLE SIGNED TITLE SIGNED TITLE
DATE DATE DATE PAGE
DEPARTMENT 2