1986, 05-19 Permit: 0011109 MechanicalSIGNATURE OF
OWNER OR AGENT
JOB ADDRESS
8021 E AUGUSTA AV
"°°=
BUCKLES, CECIL W
^=D°"=
8021 E AUGUSTA AV
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SP8KANE WA 99212
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SMITH/ HEATINC & A C
CONTRACTOR:
WAYNE SMITH HEATING
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102 E NORA AV
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SPOKANE WA 99207
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589-328-4431 WAYNESH258NJ
ARCH/ENGINEER:
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C.`,. ST: ".,.
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075431436
CENSUS TR:
0999
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0 D25440
LOT aBLOCK
014 0.36
FINAL
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STA ROSA MOUNTAIN VALLEY
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8021 E AUGUSTA AV
APPLICATION
DATE
PROJECT#
SEG, '
0012289
DATE:
05/19/86
80811109
MECHANICAL $27.00
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$27,00
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COUNTER APP
PLANS EXAM:
DATE:
MECHANICAL PERMIT
MECHANICAL TOTAL FEE
GAS PIPING SYSTEM: Quantity 01 Fee
HEAT SYSTEM (BTU)1 100K or Less 01 Over 100K 0 Fee
FUEL SOURCE: Electric N Gas Y Oil N Coal N Wood N Solar N
DISTRIBUTION: Forced Air Y Radiant N Heat Pomp N
Processing Fee
$27.00
3.00
9.00
15.00
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OFFICE COPY
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
JOB ADDRESS PROJEC
MECHANICAL PERMIT
5E0
DATE:
FEES:
D BY:
N
COUNTER APP:
PLANS EXAM:
DATE:
1H 4ICAI.. 1OTAL. FEE
i)S PIPING SYSTEM: Quantity 01 • Fee
-U :AT SYSTEM (BTU) : 1 OOK or Less <., 01 Over 1 OOK 0 ►••,,r,
UE L SOURCE: Electric N Car; Y Oil N Coa]. `r,! Wood N Solar N
• TS;TRIl L.J1 ION: Forced Air Y Radiant N Heat Pump N
Processing esr:i.ng i:. rye
INSPECTOR'S COPY
OWNER:
L:..._ , c.e........I.I._ W
ADDRESS:
Ai_ i l l`-i : el'I PIV
CITY: ST: ZIP:
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APPLICANT:
CONTRACTOR:
ADDRESS:
,4 AV
CITY: 5T: ZIP:
9x20'/
PH: LICENSE is
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ARCH /ENGINEER:
ADDRESS:
CITY: ST: ZIP:
PARCEL.:
CyENSUS TR:
INSPECTOR:
PLATS:
LOT & BLOCK
014
FINAL
PLAT NAME:
ZONES:
ZONE
FSB
9 - 1
5-2
RSB
MOD
USE OF PERMIT:
JOB ADDRESS:
i : :. AIJ(Ub fA AV
MECHANICAL PERMIT
5E0
DATE:
FEES:
D BY:
N
COUNTER APP:
PLANS EXAM:
DATE:
1H 4ICAI.. 1OTAL. FEE
i)S PIPING SYSTEM: Quantity 01 • Fee
-U :AT SYSTEM (BTU) : 1 OOK or Less <., 01 Over 1 OOK 0 ►••,,r,
UE L SOURCE: Electric N Car; Y Oil N Coa]. `r,! Wood N Solar N
• TS;TRIl L.J1 ION: Forced Air Y Radiant N Heat Pump N
Processing esr:i.ng i:. rye
INSPECTOR'S COPY
INSP -ID
DATE
71)44 g
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