1985, 09-06 Permit: 00007285 Wood StoveSIGNATURE OF
OWNER OR AGENT
JOB ADDRESS:
1915 N BALFOUR RD
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MAT|OCK/ JOHN
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1915 N BALFOUR RD
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VERADALE WA 99286
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VALLEY, FIREPLACE
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VALLEY,
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POBOX 553 AV
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VERADALE WA 99037
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509-922-2780 VALLE1 *177CC
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085440421
CENSUS TR:
0999
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000042
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VALLEY VISTA SUB
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WOODSTOVE
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1915 N BALFOUR RD
APPLICATION
DATE
~"Q.°.
0007997
~",".
89/06/85
PRO J*:
00007285
MFCHANTCA{ $70.00
-"~".
$20.00
."".°.
CA
=
X
CG
NC
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'=°"",^°.
"ATE.
MECHANICAL PERMIT
MECHANICAL TOTAL FEE
0 Range 0 Gas Log 0 Gas W/H 0 Solid Fuel 01 Fee
='�'S~'�CE� Elec�ric N Gas N Oil N Coal N Wood Y Solar N
FUEL """ processing Fee
" O
O
O—�--c
"' " "' "
$20.00
10.00
10.00
47��� 78 �z
.°" z * ��
OFFICE COPY