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2010, 11-16 Permit 10003726 Refund4. I e, Sikikane 11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206 ♦509.720.5240 ♦ Fax: 509.688.0037 • Memorandum Date: 11/16/2010 To: FINANCE DEPARTMENT From: JENNA DAVIS CC: MARY KATE MCGEE Re: REFUND -14903 E BROADWAY AVE - MECHANICAL PERMIT -1 GAS PIPING 1 GAS APPLIANCE PROJECT NUMBER: PROJECT ADDRESS: PROJECT TYPE: REASON: REFUND TYPE: GL ACCOUNT : AUTHORIZED BY: DATE: 10003726 14903 E BROADWAY AVE MECHANICAL PERMIT Refunding Permit fee amount of $16 as permit was cancelled by the applicant. Per the currently adopted fee schedule, credit the applicants Visa in the amount of $16. cOUS) 09 C)'-j Yi 3ZZ 1Ct\-( ORIGINAL TO FINANCE AND COPY TO FILE WITH PAPERWORK RECEIVED 11/15/2010 07:58 5096880037 11/15/2010 MON 8:05 FAX 509 325 2615 STURM HEATING 11/08/2010 11:54 5036880037 SV PERMIT CENTERFR SV PERMIT CENTERFR 0001/001 PAGE 01/02 Spo° an e 4 .SVallem PERMIT CENTER 11703 E. Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Site Information Project Information te Address: 14903 E BROADWAY AVE Parcel Number: 45141.0727 Subdivision: Block: Lot: Lotting: R-3 SF Res District Owner: WORIk1INGTON,IM Address: 14903 E BROADWAY AVE SPOKANE VALLEY, WA 99216-2039 BO.OMng inspector. EAST Water Dist: VERA Project Number: 10003726 Inv: 1 Issue Date: 11/08/20I0 Permit Use: 1 FUEL BRNG APPL/ 1 GAS PIPING Applicant: STURM HEATING INC 1112N NELSON SPOKANE WA 99202 Contact: STURM HEATING INC 1112 NNELSON SPOKANE WA 99202 Phone: (509)325-4505 Phone: (509) 325-4505 Setbacks - Front: Left: Right: Rear: Group Name: Project Name: Permits Mechanical Permit Contractor: STURMHEATING GAS APPITANCH<=100,000HT PROCESSING FEE FOR MECHANICAL INSPECTIONS CALL (509) 68S-0054. Licensed: STURMIe219QF 1 $13.00 GAS PIPING S37.00 Tolalrerntit Fee: 51.00 Payment Summary Total Fees AmountPaid AmamttOwin? $51.00 $51.00 $0.00 Processed By: DAVIS, IENNA Printed By: MORRIS, HEATHER Tran Date Receipt rt 11/082010 25001 Page 1 of 1 PbRMIT