1984, 07-16 Permit: 00001188 Plumbing FixturesSIGNATURE OF
QWNER OR AGENT
11:tO+DSfE-Ts.L.. BALDWIN AV
OWNER:
t::C)L.ONIAL, CONTRACTORS
111E$S_4 I_ BALDWIN AV
C � : ST: ZIP:
�:,�tEENACRLs WA 99016 - -0000
1PtiihrBURKES PLMBG & HTG
11514/p`1URKF: PLBG & HTG
In BOX 424
C? ''OKANF: ST: WA Z1P•99904 -0 0 0 0
P!509-448-0500 00 Tb 11PH162JJ
ARCR /ENGINEER:
ADDRESS:
CITY: ST: ZIP:
PL��p1T�,1 :4(G� 1 0 1
COry$lJ_$_7'R:
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INSPECTOR:
PlJb 1196
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PLANS EXAM:
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'1BI:#TWE BALDWIN AV
APPLICATION
DATE
SEO. *:
00012d
DATE:
07/16/C34
PRO, it:
00001188
Plumbing Fee $50.00
FEES:
$50.00
PAID BY:
CA
CPC
X
CG
NC
COUNTER
PLANS EXAM:
DATE:
07/16/8
P L U M B I N G ! P `E: R M I T
PLUMBING TOTAL.. F EES $50.00
Processing Fee Y Mi.t c- Fee Desc Amt $0.00 fee; $10.00
Fixtures: Bar sink 0 Drinking Fount 0 Flr Drain 01 C/W Pipe 01
Dish Washer 0 Gabage Ds s>al 0 Ktchn snk 1 l..ndry, tray Sew e: rt 0
Urinal 0 WIT ciset 02 Lava 02 Shwr 01 Tub 01 Badt 0 Oth 0 fee: $36.00
Electric water heater 1 Drains• -roof 0 fee: $4,00
OFFICE COPY
07 -16 -84 559.05 *50.00 �