1986, 02-28 Permit: 00009829 WoodstoveS|G�ATURE0F
APPLICATION
OVVNER CR AGENT DATE
JOB ADDRESS
/618 E AUGUSTA
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'ERRY, DAVE
MECHANICAL
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818 E AUGUSTA
AV
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SPOKANE WA
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99212
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VALLEY/ FIREPLACE
CONTRACTOR:
VALLEY FIREPLACE
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P O BOX 553
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VERADALE WA
ZIP:
99037
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509-922-2780
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VALLEF*177CC
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075430608
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0999
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0D254400
LOT & BLOCK
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MECHANICAL ��RMIl
MECHANICAL TOTAL FEE
APPL; Dry 0 Range 0 Gas Log 0 Gas W/H 0 Solid Fuel 01 Fee
FUEL SOURCE; Electric N Gas N Oil N Coal N Wood Y Solar N
k DISTRIBUTION: Forced Air N Radiant Y Heat Pomp N
Processing Fee 15.00
PROJECT#
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0010847
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02/28/86
MECHANICAL
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$25.00
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PLANS EXAM:
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$25,00
10.08
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OFFICE COPY
SIGNATURE OF
APPLICATION
OWNER OR AGENT DATE
JOB ADDRESS
MECHANICAL.. PERMIT
FEES:
PAID BY:
COUNTER APP:
PLANS EXAM:
DATE:
::Ct-1ANICAL. TOTAL F
)PPL_ t Dry 0 Range 0 Gas Log 0 Cyan W /Ft 0 Solid F u :i. 01 ti: c:l
;.:UC L. ' t)ikCC::s Electric N Gas tft Oil. N Coal P Wood Y Solar N
,): STR18(J'TIONA Forced Air N Radiant .Y Heat Pump N
Processing Fee
OWNER:
ADDRESS:
CITY: ST: ZIP:
APPLICANT:
CONTRACTOR:
ADDRESS:
CITY: ST: ZIP:
PH: LICENSE.:
ARCH /ENGINEER:
ADDRESS:
CITY: ST: ZIP:
PARCEL.: CENSUS TR:
INSPECTOR:
PLATS:
LOT & BLOCK
FINAL
PLAT NAME:
ZONE.: 120NE
I
FSB
S - 1
5 -2
RSB
0
0 0
MOD
E
USE OF PERMIT:
JOB ADDRE55: j
AU {. 1.1S T A AV
MECHANICAL.. PERMIT
FEES:
PAID BY:
COUNTER APP:
PLANS EXAM:
DATE:
::Ct-1ANICAL. TOTAL F
)PPL_ t Dry 0 Range 0 Gas Log 0 Cyan W /Ft 0 Solid F u :i. 01 ti: c:l
;.:UC L. ' t)ikCC::s Electric N Gas tft Oil. N Coal P Wood Y Solar N
,): STR18(J'TIONA Forced Air N Radiant .Y Heat Pump N
Processing Fee