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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