2007, 10-29 Receipt, Permit-Electrical Dept of Labor and IndustPage 1 of 1
Receipt
Washington State Department of Labor and Industries
Customer: KEITH MYER
Address: 422 S PARK RD
City: SPOKANE VALLEY State: WA Zip: 99212
-- Fiscal Transaction Receipt --
Fiscal Transaction: 101852362
Created: 10/29/2007
Payments: $46.00
-- Payments --
Type Amount Payer Reference
Debit $46.00 KEITH E MYERS 78483
-- Services --
EP1532280
Description
Mobile Home - Mobile Home Sry
Reference
EP1532280
Quantity Price
1 $46.00
NOTE: All refund requests must be made in writing. Refunds may require processing
through central officeand we cannot guarantee immediate refunding of services.
http://field-services.apps-inside.lni.wa.gov/FrontCounter/FCRevRecW eb/PConfirmCR.Aspx?AppID=20... 10/29/2007
Order Confirmation
Page 1 of 2
PAIRS Version 1.1.50.0 Logged into Production as WESTBROOK, MARSHA R
Confirmation
Permit EP1532280
Applicant
Contractor ID
Company
Name
Last Name [MYER
KEITH
First
Address 422 S PARK RD
City
Permit
Site Owner
Last Name
First
SPOKANE VALLEY
M
Print
StatelWA
MYER
KEITH
Address 422 S PARK RD
City
Location
Phone
Notes
SPOKANE VALLEY
SPOKANE
(509) 981-5153
M
StatelWA
In The City
Request
Status Friel
Applied 110/29/2007
Expiration[10/29/20081
# Reqs
# Insps
Created ste235
10/29/2007
2:30 PM i
Updated 1oste235
110/29/2007
Services
Description Quantity Amount
[Mobile Home - Mobile Home Srvc or fdr only _ 1 L L T46.9_2;
Total Cost
Total Paid
Total Due
$45.00j
$46.001
$0.00
New Permit
Edit Permit
http://scsd.apps-insidelni.wa.gov/pairspermit/frmConfirmation.aspx?SmsgId=733184&SmsgSender-R... 10/29/2007
Page 1 of 2
Contractor Name
Purchaser's mailing address
422 S PARK RD
SPOKANE VALLEY
Telephone number
(509) 981-5153
Premises owner's name
MYER, KEITH
Address of inspection
422 S PARK RD
SPOKANE VALLEY
Power company
Avista (Spokane)
POST ON JOBSITE PRIOR TO BEGINNING WORK
• INDIVIDUAL OWNER
ELECTRICAL WORK PERMIT # EP1532280
License Number Installation Description:
CONNECTION TO SERVICE BOX FROM METER
BASE
WA 99212
FAX Number
()-
Services to inspect:
Description
Mobile Home - Mobile Home
Srvc or fdr only
Inspection fee: $46.00
This permit expires in one (1) year from date of last activity.
Applied: 10/29/2007 Expiration: 10/29/2008
WALLS
Insulation Only
Cover
CEILING
Insulation Only
Cover
Inspection Date
Date Approved By
SERVICE
FEEDER
THERMOSTAT
DITCH
Quantity Amount
1$46.00
Date Approved By
Area, Building or Equipment Inspected Action Taken Electrical Inspector
Property Owner: This is your permanent record of inspection
FAILURE TO POST PRIOR TO BEGINNING WORK WILL
RESULT IN CIVIL PENALTIES
Print Permit
http://scsd.apps-inside.lni.wa.gov/pairspernut/rptPemut.aspx?AppID=106
10/29/2007
Page 2 of 2
DO NOT POST THIS AT THE WORKSITE
SUBSCRIBERS of the EPIS system do not need to use this code to request or view inspections
through Secure Access Washington
This is your permit number: EP1532280
Use this authorization code: 78590
The authorization code enables customers who are not subscribed to our online permitting
system (EPIS) to request inspections and view their inspection results online through the
Request an Inspection website.
Use your authorization code and permit number at:
The Department of Labor and Industries Electrical Homepage.
www.lni.wa.gov/tradeslicensing/electrical
Close
http://scsd.apps-inside.lni.wa.gov/pairspermit/rptPermit.aspx?AppID=106 10/29/2007
Page 1 of 1
Receipt
Washington State Department of Labor and Industries
-- Fiscal Transaction Receipt --
Transaction Type: Sale
Fiscal Transaction: 101852331
Created: 10/29/2007
Payments: $87.70
-- Payments --
Type Amount Payer Reference
Debit $87.70 KEITH E MYERS 78481
-- Services --
FP1532266
Description Reference
Other Services - HOMEOWNER RE FP1532266
Quantity Price
1 $87.70
http://field-services.apps-inside.lni.wa.gov/FrontCounter/FCSearchWeb/ReceiptReprint.aspx?FtranID=1... 10/29/200 3
Search Results Detail
Page 1 of 2
PAIRS Version 1.1.50.0 Logged into Production as WESTBROOK, MARSHA R
Permit FP1532266 Detail Manufactured/Mobile Home
NSF CRS • CUP CMP
Purchaser
Contractor ID
Company Name
Last Name
First
ILL VOW
Print Request
Status cfve
Applied 10/29/2007
MYERS
KEITH
Address k22 S PARK RD
City
Phone
Site
Information
SPOKANE VALLEY
Expiration 110/29/2008
Completed No
Pending Final
1 StateWA ZipI992121,
509)981-5153 1
Last Name MYERS
First
KEITH
-J
Address 4422 S PARK RD
City
L
SPOKANE VALLEY
Location SPOKANE _--.
Phone
(509) 981-5153
State Zip I99212
# Reqs I1 _ j10/30/200i
# Insps L _
__..-__.__....-.
Created oste235__1
r007 I
Updated joste235
110/29/2007
Description HOMEOWNER REQ INSPECTION
Notes
Directions
Power Company i
Services
Description
Other Services - HOMEOWNER REQUESTED INSPECTION
Quantity Amount
11 f $87.70
Total Cost
Total Paid 1
Total Due
$87.701
$87.70
$0.001
Edit Permit
http://scsd.apps-inside.lni.wa.gov/PAIRSPermit/fin1SearchDetail.aspx?AppID=100 10/29/2007
Page 1 of 2
Contractor Name
Purchaser's mailing address
422 S PARK RD
SPOKANE VALLEY
Telephone number
(509) 981-5153
Premises owner's name
MYERS, KEITH
Address of inspection
422 S PARK RD
SPOKANE VALLEY
WA 99212
POST ON JOBSITE PRIOR TO BEGINNING OF WORK
License Number
WA 99212
FAX Number
()-
(509)981-5153
FAS ALTERATION PERMIT #FP1532266
Installation Description:
HOMEOWNER REQ INSPECTION
Services to inspect:
Description
Quantity Amount
Other Services - HOMEOWNER I
REQUESTED INSPECTION 1 87.70
Inspection fee: $87.70
This permit expires in one (1) year from date of last activity.
Applied: 10/29/2007 Expiration: 10/29/2008
MECHANICAL
Type
ELECTRICAL
Type
OTHER
Type
Inspection Date
Date Approved By
PLUMBING
Type
STRUCTURAL
Type
OTHER
Type
Date Approved By
Area, Building or Equipment Inspected Action Taken Inspector
Property Owner: This is your permanent record of inspection
Print Permit
http://scsd.apps-inside.lni.wa.gov/PAIRSPermithptFASPermit.aspx7APpID=103
10/29/2007
Page 2 of 2
DO NOT POST THIS AT THE WORKSITE
SUBSCRIBERS of the EPIS system do not need to use this code to request or view inspections
through Secure Access Washington.
This is your permit number: FP1532266
Use this authorization code: 95567
The authorization code enables customers who are not subscribed to our online permitting
system (EPIS) to request inspections and view their inspection results online through the
"Request and Inspection" website.
Use your authorization code and permit number at:
The Department of Labor and Industries FAS Homepage: wwwlni.wa.gov/tradeslicensing/fas
Close
http://scsd.apps-inside.lni.wa.gov/PAIRSPermit/rptFASPermit.aspx?AppID=103 10/29/2007