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1989, 12-21 Refund for Duplicate PermitVENDOR CODE NAME SPOKANE COUNTY, PAYMENT VOUCHER ADDRESS ANDERSON'S SHEET METAL EAST 13903 TRENT AVENUE SPOKANE, WA 99216 ACCOUNT DISTRIBUTION, ORIGINATING ENTITY (ALL VOUCHER TYPES) LINE Na 1 VENDOR INVOICE NUMBER 89-4588 FUND 010 AGENCY 030 ORGAN- IZATION 0008 ACT OBJ SUB OBJ REV SOURCE 2210 SUB REV 07 JOB NUMBER REPT CATEG BS ACCT NUMBER DATE 12/21/89 47009 NAENCY ME NAME BUILDING&SAFETY AUDITORS STAMP L1099 REQ'D ID# DESCRIPTION7- refund $35.00 DETAIL DESCRIPTION Refunding 100% of permit #89-4588 issued for gas piping at East 17208 Coach Drive. This is a duplicate permit. 100% of $35.00 = $35.00 D AGENCY ORGAN. IZATION SUB ORR INTRA -GOVERNMENTAL VOUCHER SELLERS ACCOUNT DISTRIBUTION ACTIVITY REVENUE SOURCE SUB REV SRC JOB NUMBER RPT. CATEG. OFFSET` RECEIVABLES errni iur SELLER CERTIFICATION I, hereby certify that the materials have been furnished, the services SIGNED rendered or the labor performed as described herein or contracted TITLE for, and that the claim is a just, due and unpaid obligation, and that I am authorized to authenticate and certify to said claim. DATE I, the undersigned do hereby certify under penalty of perjury that sufficient funds have been budgeted for this claim, the ma- terials have been furnished, ser- vices rendered or labor performed as described herein or contracted for, that the claim is a just, due and unpaid obligation against Spokane County or fund agency indicated above, that I am autho- rized to authenticate and certify to said claim, SIGNED TITLEOFFICE MANAGER DATE 12/21/89 $35,00 TRAVEL CERTIFICATION I hereby certify under penalty of perjury that this is a true and correct claim for necessary expenses incurred by me and that no payment has been received by me on account thereof. SIGNED TITLE DATE EXAMINED and ALLOWED DATE 19 CHAIRMAN MEMBER MEMBER ANDERSON'S SHEET METAL HEATING & AIR: CONDITIONING E13903 TRENT AVENUE SPOKANE, WA 99216 (509) 928-0960 /a—//— 87 /94: ..a,7-- a g /+ ��u • . e� 4Jyuo�` rte' - a-- -- , -ev. 1 SPOKANE COUNTY DEPAFITMENT OF BUILDING AND SAFETY W. 1303 BROADWAY AVENUE SPOKANE. WASHINGTON 99260 (509) 456-3675 I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct. 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 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 OWNER OR AGENT APPLICATION nATE I::'Fi(1JI:::(:'T NUMBER= 89004580 DATE= -i •i !` {) <:) ./ #:2 9 PAGE= 01 'ISSUED PERMIT , )r 3i- >i- yi- ii� �i- �i- 7f ii:� it� �ri� >i �i- )i• ?i• •x• •ri- ai- ii• �r�:rt•at� ��: �ri- •)c ii� ii iE PERMIT INFORMATION i�:� •)i� >i• fi.• k• 7r r:- �ir •it� ii• 7c 7i. ri. ii.:n: �iE �). i�: -n: �rr �r )i� ): •)t- u: * * * SITE STREET= -i ?i)is {F: COACH J)F? ADDRESS=C;is{:::F::Nr7C'R(:::5 (4(:, 99016 ti.. PERMIT USE= GAS PIPING PARCEL:{{:_-: 19552-1009 I:: i (•"t•T•-„:=:: 000076 : F'I...r-':tT NAME= APPLE VAL..L..F::`r` ESTATES BLOCK= 3 {...oT'== 9 ZONE= RMF-{ DIS -T -O= G AREA= = 0 )000)i)4:)0 F,/A= F WIDTH= 7{:) I)i:::IP,Ti..i:::: 120 R/W= :G: OF T:ti._D(:;S:::: q: DWELLINGS= § CIWNFER:::: :l i:::V•T'I..I:I:F.::N, MR MRS STREET= 17208 E:: COACH OR ADDRESS= C;R'.EF:::NAC::RE:S (4tI 990•1 Cr CONTACT NAME= ANDERSON'S SHEF- T ME')"F11... BUILDING SETBACKS: FRONT= NA i F::FF...(.N PHONE—SO9 922 74:3:3 f PHONE NUMBER= 509 928 0960 I::i:C,F-(T:::: NA REAR= NA h: * k )t )i * ii• )t )t. ri )i- yi- * -pi ?t- -h:- * it i? )i it 3i it ii ?t- )t * )i * * ii MECHANICAL P E: R M I T• -)e is )E it ii- dpi ii• * 9i it• i;: ii- * it• # ri k- 3t• * -)t * -* it iE * -)t- (:::(:)NTF;r"t(:`:r(:)R:::: ANDERSON'S SHEET METAL. STREET= -1 3' -?'0:3 F-- TRENT AVE ADDRESS= SPOKANE WA 99216 PHONE= 509 9."• 8 0960 ::"t.EH DESCRIPTION QUANTITY F:•E:F: AMOUNT PROCESSING I::'i:::I::: r` (:;r=1:: PIPING MINIMUM F: F:: F ADJUSTMENT 25.00 1..00 9,00 )r ii- di- )i� hi it- hi )B k� )E )i• k- )i. )i- )i..}i- yt� ii- k� ar 3e } r .ii..)r- y;- )t• 3(- ii� in- >r H- PAYMENT SUMMARY iE it * k R * lr * 'x' 'v:' x )e x 'H: * }k * }i: ;r ae 7r .>•.:I: >i- ai- * * •»• PAYMENT DATE F:F::CF: T .... 11/08/89 55 TOTAL DUE:::: .00 TOTAL... PAID= PERMIT TYPE FEE AMOUNT FiPiC)(.1NT F'A:I:I) AM(:)(.INT o'.._ ..., MECHANICAL (.::': I._ F:'Ftii1T 35.00 35.00 .00 35 „ 00 35.00 .00 PROCESSED BY: ,.!(.it•.:I:E:. ;F-IAT...0 PRINTED BY: JULIE SHATTO )i- * )i. )i• .. * h: *... 36 h} )4 % * 33 3,. )t. )i. 33 33.. )t- -): y )fi 3:. .. )3 )i• )3 ),: THANK tf n (J i@ 1 . •n:• . at- fi. * .);..k. >t. * .h; .h} ...)6 33 )r .N? 33..)i -)t..)t.... r.......),..n: •h; JOB STREET ADDRESS: MECHANICAL PE aNIIT APPLICATION FORM Ong 14") CITY/STA'TE•:/ZIP: �iiv� „, ,o y �J,,x -,(� PARCEL NUMBER: ( �� - (OD `7 Information Worksheet OWNER:. Mie. Alias . BEn/7y/EJ✓ MAILING ADDRESS: T, /7ao A C o ate - PHONE NUMBER : 9 a 2 - '7 '33 (Street) (City/State) (Zip) CONTRACTOR: f1JJDEEs0,J S 3,14 e-7- ME'7NL LICENSE NUMBER: IQ NO ETS MAILING ADDRESS: t. /37x T,e�✓T /i ✓/. PHONE NUMBER: Y%„1,9- - O ? 6 O (Street) -5,74WAVi 71/6 (City/State) (Zip) MECHANICAL WORKSHEET,/FEE SCHEDULE NUMBER X EACH OF UNITS UNIT DESCRIPTION = AMOUNT DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER HEATING EQUIPMENT <100,000 BTU HEATING EQUIPMENT +100,000 BTU GAS - LETS ) GAS PIING (5 OR MORE. EACH:) REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) REFRIG 101-500M BTU REFRIG 501-1,000M BTU REFRIG 1,001-1,750M BTU REFRIG +1,750M BTU HEAT PUMP & HEAT PUMP & HEAT PUMP & HEAT PUMP & HEAT PUMP & VENTILATING EVAPORATIVE TYPE I HOOD TYPE II HOOD CLOTHES DRYER RANGE GAS LOG AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER FANS 0-3 TONS _ 3-15 TONS 15-30 TONS 30-50 TONS +50 TONS COOLERS (PER 12' OR 12' PTN. OF HOOD) MISCELLANEOUS (NOT COVERED ELSEWHERE) UNLISTED GAS APPLIANCE <400,000 BTU_ UNLISTED GAS APPLIANCE >400,000 BTU_ USED APPLIANCE <400,000 BTU USED APPLIANCE >400,000 BTU AIR HANDLER <10,000 CFM AIR HANDLER >10,000 CFM x$10.00 = x 25.00 = x 10.00 = x 12.00 = x 15.00 = x x 1.00 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 10.00 = x 10.00 = x 50.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x 50.00 = x100.00 = x 50.00 = x100.00 = x 12.00 = x 15.00 = / ..rsa /V'o1 5 w/[.c_ il1EED PE2m /T re,e GAs P(P/NG /NsPEcT/a/0 NOTE: SIGNATURE MINIMUM PERMIT FEE IS$35.00j SUBTOTAL PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 SITE ADDRESS: E 17208 COACH CR PROJECT NUMBER: 8G0C4588 P.EFMIT TYPES: ME PERMIT USE: GAS PIPINC - REFUNDED 12/21/89 - VOUCHEF A470CS DISCRIPTICN INSPECTOR DATE RESULT VOIDED/EXPIRED KNUTSEN, PAM 12/21/89 APPROVED