1986, 07-09 Permit: 00012012 WoodstovesSIGNATURE OF APPLICATION
OWNER ORAGENT DATE
JOB ADDRESS
$4 t % 6
+�u�::A AV
Ow."R.
'M/` HIBBARD
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1AL 2 E AUGUSTA AV
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SP/' 4NE WA 99206
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HECC El: M` SCOTT
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uA�LEY FIREPLACE
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� 8 BOX 553 AV
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WA 9037
VERADALE 7
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509-922-2780 VA ... LEF*177LG
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095431606
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00109200
LOT aBLOCK
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FINAL
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(2)WOODSTOVES(DUPLEX)
USE OF PERMIT:
'~^~~~==
1O822 E AUGUSTA A�
MECHANICAL PERMIT
PROJECT#
0013328
~^=
O7/09/86
0U01
MECHANICAL
FEE"'
$35.00
COUNTER APP:
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°
ELANS EXAM:
MECHANICAL TOTAL FEE
A PL: Dry 0 Range 0 C. Log 0 Gas W/H 0 Solid Fuel 02 Fee
FUEL SOURCE: Electric N Gas N Oil N Coal N Wood Y Solar N
DISTRIBUTION: Forced Air N Radiant Y Heat Pomp N
Processing Fee
$35.00
20.00
15.00
O 7 - . 3 O - O 6 3 6 6O5 ^3 5O0 �
OFFICE COPY
SIGNATURE OF
OWNER OR AGENT
JOB ADDRESS
MECHANICAL PERMIT
APPLICATION
DATE
PROJEC -,
DATE:
EES:
PAID BY:
COUNTER APP:
PLANS EXAM
DATE
H i:.::: i-S NI C A i_. TOTAL F 1::: E
AP PL: Dry 0 Range 0 Gas Log 0 Gas W /Ii 0 Solid Fuel 02 F'eF.,
FUEL •SOURCE: Electric N Gas N Oil N Co<a1. N Wood Y Solar N
'DISTRIBUTION: Forced Air N Radiant Y Heat Pump N
Processing Fee
INSPECTOR'S COPY
OWNER:
ADDRESS:
CITY: ST: ZIP:
APPLICANT:
CONTRACTOR:
ADDRESS:
y
CITY: ST: ZIP:
WA
PH: LICENSE.:
) i 1 ,... i.. 1.
ARCH /ENGINEER:
ADDRESS:
CITY: ST: ZIP:
PARCEL.:
CENSUS TR:
INSPECTOR:
PLATS:
LOT & BLOCK
FINAL
PLAT NAME:
ZONE.: 'ZONE
I
FSB
S - 1
S - 2
RSB
MOD
1
USE OF PERMIT:
JOB ADDRESS:
MECHANICAL PERMIT
APPLICATION
DATE
PROJEC -,
DATE:
EES:
PAID BY:
COUNTER APP:
PLANS EXAM
DATE
H i:.::: i-S NI C A i_. TOTAL F 1::: E
AP PL: Dry 0 Range 0 Gas Log 0 Gas W /Ii 0 Solid Fuel 02 F'eF.,
FUEL •SOURCE: Electric N Gas N Oil N Co<a1. N Wood Y Solar N
'DISTRIBUTION: Forced Air N Radiant Y Heat Pump N
Processing Fee
INSPECTOR'S COPY
I NSP — I D
DATE
CI
co
uJ
2
-J W
03- 02
0
CC
0
PROJECT FINAL