2000, 01-11 Permit 00000200 Range RefundTITLE
Pv#
Dept
REFUND
iVG'N 00
030 — CODE LNFORCt_
VENDOR
LLL O_W CONSTRUCTION
P. 0. BJX 14406
SPOKANE,
Vendor Contact/Tel
WA 99214
EPS PAYMENT DOCUMENT
SPOKANE COUNTY AUDITOR
SHIP TO: SILL TO:
Confirming Order
Change Orate #
Bid ID
Blanla t#
RC#
VI#
FOB:
ACCTG. PERIOD:
COMMENTS.
COMM LN# 7
06/99
DESCRIPTION
PO DATE:
DELIVERY DATE:
ENTERED BY:
BLDG/ROOM:
WAREHOUSE:
COMMODITY NO 1 REF ACCT LINE I QUANTITY I UNIT
95002429— 103 ,. FrT N ' PROJECT CANCELLED-80% REFUND
$4.50 X 100% =
95002429-5105 S. FELTS LN
$180.54 X 80% _
TOTAL REFUND
$ 4/50
+144.43
$148.93
SYSTEM 1/0ID
BUYER
PURCHASING DIRECTQR:
UNIT PRICE
PAGE TOTAL:
DISCOUNT TOTAL:
FREIGHT TOTAL:
SALES TAX TOTAL:
PURCHASE ORDER VALUE:
USE TAX TOTAL:
GRAND TOTAL:
TOTAL PRICE
144. =:3
148.93
0.00
0.00
0.00
148.93
0.00
DINE NO.
FUND
AGCY
ORO
SB ORG I ACT
OBI
SB OBI
REV SRC
SB REV
RPT CAT
BS ACCT JOB NO. LAY THIS AMOUNT
144.4J
3706 4.50
TOTAL TO VENDOR:
148.93
P/F
RECEIVING CERTIFICATION
Materials noted in quantity ✓ have been
received in good oondi¢on or contracted for.
� SIGNED t``1r6f/ \f
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 contracted for, that the claim is
a just, due and unpaid obligation against Spokane County or fund agency indicated above, that I am authorized to authenticate
and certify to said claim.
S►GN(ED 4/04 7/2f JJ 24. TITLE DIRECTOR
TRAVEL CERTIFICATION
1 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 6/21 /95i
DATE; 6/21/95
DEPARTMENT2
DATE
PAGE
•
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
WEST 1026 BROADWAY • SPOKANE, WA 99260-0050
(509) 456-3675
SITE INFORMATION
PROJECT INFORMATION
)
SITE ADDRESS: 5105 S FELTS LN
SPOKANE WA 99206
PARCEL NUMBER: 44053.9148
IUBDIVISIOM: SP-740-92
LOT: 2 BLOCK: ZONE: SR-1
INSPECTOR: DAVE SILVA
WATER DIST:
OWNER: VELIS, GEORGE
PHONE: 509 926 8118
ADDRESS: 5105 S FELTS LN
SPOKANE WA 99206
PROJECT NUMBER: 95002429 ISSUE DATE: 04/18/95
PERMIT USE: 20 X 30 DETACHED SOTRAGE
APPLICANT: ELLIOTT CONSTRUCTION
PHONE: 509 928 6415
ADDRESS: PO BOX 14406
SPOKANE WA 99214
BUILDING
CONTACT: LANCE ELLIOTT PHONE: 509 928 6415
SETBACKS -> FRONT: 50+ LEFT: 80 RIGHT: 50+ REAR: 35
LENDER NAME:
PHONE:
ADDRESS:
TaePERN IT -
CONTRACTOR
ELLIOTT CONSTRUCTION COMPANY
LICENSE S: ELLIOCC153R9
MEW BUILDING
DIM.. 20 X 30 1 STORIES
SS FT . 1160
STORAGE M-1 VW 1160
TOTAL VALUE:
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
153.00
4.50
27.54
TOTAL ►ERMIT FEE S185.04
PERMIT(S)
4-1- ,/ E -(i/P/
INSPECTION REQUESTS
TO MAKE SURE YOU GET AN INSPECTION WHEN YOU NEED IT
CALL OUR OFFICE AT 456-3675
24 HOURS IN V
JOB ADDRESS: i 0.5 �C'
INSPECTOR: vt�G.'i'-G- 4'1F1 j1
YOUR PERMIT NUMBER IS: (fS -_. L'j' 1 -
DON'T FORGET...YOU CAN CALL IN YOUR REQUEST
24 HOURS A DAY - 7 DAYS A WEEK
Spokane County Department of Buildings • Wesl 1026 Broadway Ave Spokane WA 99260
PAYMENT SUMMARY )
PAYMENT DATE RECEIPT*
04/18/95 00003109
TOTAL FEES AMOUNT PAID
S185.04
S185.04
PAYMENT AMOUNT
S185.04
AMOUNT OWING
S.00
SITE : LOWEST OPENING, INCLUDING BASEMENT OPENING OR TOP OF WINDOW
WELLS, MUST BE HIGH ENOUGH TO ALLOW A MINIMUM SLOPE OF 2%
AWAY FROM BUILDING. ALL DRAINAGE SHALL BE ROUTED AWAY FROM
THE BUILDING TO NATURAL DRAINAGE OR OTHER LAWFUL DRAINAGE
FEATURES. THIS ALSO APPLIES TO S. 5105 FELTS LANE, PROJECT
NO.92010780, AS S. LIGHTFOOT, COUNTY ENGINEERS.
IBSLIED PERMIT
BY: CAROL FRAZIER