2010, 02-23 Permit: 10000492 Water Heater Sjökane
PERMIT CENTER
Valley® 11703 E. Sprague Avenue, Suite B-3
Spokane Valley,WA 99206
Site Information Project Information
Site Address: 13116 E 22ND AVE Project Number: 10000492 Inv: 1 Issue Date: 02/23/2010
Permit Use: 1 GAS WATER HEATER
Parcel Number: 45271.2331
Subdivision: Applicant: ACI
Block: Lot: 6600 N GOVERNMENT WAY
Zoning: R-3 SF Res District COEUR D ALENE,ID 83815 Phone: (208)772-9571
Contact: ACI
Owner: HOFF,NORMAN J&CYNTHIA M
6600 N GOVERNMENT WAY
Address: 13116 E 22ND AVE COEUR D ALENE,ID 83815 Phone: (208)772-9571
SPOKANE,WA 99216-0408
Setbacks-Front: Left: Right: Rear:
Building Inspector: SOUTH
Water Dist: MODEL
Group Name:
Project Name:
Permits
Mechanical Permit Contractor: ACI License#: ACINOI*922D8
GAS WATER HEATER 1 $11.00 PROCESSING FEE $37.00
Total Permit Fee: $48.00
FOR MECHANICAL INSPECTIONS CALL(509)688-0054.
Payment Summary
Total Fees AmountPaid AmountOwing Tran Date Receipt# Payment Amt
$48.00 $48.00 $0.00 02/23/2010 21842 $48.00
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Processed By: DAVIS,JENNA PERMIT
Printed By: MORRIS,HEATHER Page 1 of 1
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PERMIT CENTER.
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11703 E.Sprague Avenue,Suite B-3
4.000.Vallky.
ACI Spokane Valley,WA 99206
rSite Information -______ Project Information •
Site Address: 13116 E 22ND AVE Frojed Number: 10000492 Yaw: 1 Issue Date: 02123/2010
Permit Use:1 GAS WATER HEATER
Parcel Number:45271.2331
Subdivision: Applicant: AC1
Blocks Lot; 6600 N GOVERMENT WAY .
Zoning:R-3 SF lies District COEUR D ALENE,ID 83815 Phone:(208)772-9511
ACI
Owner:HOFF,NORMANI&CYNTHIA M Coated::
660
6600 N GOVPRNMENT WAY
Address: 13116.E 22ND AVE COEUR D AXENE,YD 83815 Phone:.(208)772-9571
SPOTSANE,WA 99216-0408 Setbacks•Front: Lett: Right: . Rear:
Building inspector:SOUTH
Water Dist: MODEL •
Group Name:
Project Name: • •
_._ — Permits
. MechanicaPermft . Camtrractor. Act __• amuse#: AC1NOr922D8 • •I'
• •GAS WATER HEATER 1 • 511.00 PROCESSING $37.00
Total Permit Fee: $48.00
FOR MECHANICAL.NSPECTIUNS CALL(509)688-0054. ,
— Payment Summary • 1111111.1.1111111111.1111
Total Fees Anpun tPaid ApnountOwing Tran Receipt# i'•'went Amt
$48.00 $48.00 $0.00 02/23/2010 21842 548.00
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Printed•By:*MORRIS,HEATHER Page . 1 or 1
Received Time Feb, 23. 2010 10;52AM No. 6560
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City of Spokane Valley
Building Dept
Receipt
Receipt Number: 21842 Customer Number
Projects
Full
Project Nbr Inv Nbr Fee Amt Inv Amt Owing PAID Pmt
10000492 1 $48.00 $48.00 $48.00 $48.00 VI
Total: $48.00 $48.00 $48.00 $48.00
Miscellaneous Items
Total PAID: $48.00
Tender
Type Check Acct Balance CC Nbr Exp Date TENDERED
VISA x)xxxxxxxxxx529611/2010 48.00
Payer:
Total TENDERED: 48.00
Over /(Short) $0.00
Change $0.00
Notes:
Tran Date/Time: 02/23/2010 10:38:58 AM
By: HMORRIS
Logon User: BldgCounter
Station: CX SV00014A
Override By:
Printed: 02/23/2010 10:38:58 AM Page 1 of 1
QTY OF ,y
Spokane
Valley® 11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
♦509.720.5240 ♦ Fax: 509.688.0037 •
Memorandum
Date: 3/5/2010
To: FINANCE DEPARTMENT
From: JENNA DAVIS
CC: MARY KATE MCGEE
Re: REFUND-13116 E 22ND-MECHANICAL PERMIT-1 GAS WATER HEATER
PROJECT NUMBER: 10000492
PROJECT ADDRESS: 13116 E 22ND
PROJECT TYPE: MECHANICAL PERMIT
REASON: Refunding Permit fee amount of$13 as work was cancelled by
the applicants customer.
REFUND TYPE: Per the currently adopted fee schedule, credit the applicants
Visa in the amount of$13.
GL ACCOUNT : CCS - (iSk Sc'l 3 221 Gly
AUTHORIZED BY: 44/4. Md
DATE: o -a e- ZcCK)
ORIGINAL TO FINANCE AND COPY TO FILE WITH PAPERWORK