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1986, 10-15 Permit: 00013643 Plumbing Fixtures
SIGNATURE OF APPLICATION OWNER OR AGENT DATE S JOB ADDRESS IANNL N OWNER: .'_ Gl:ORI;F. C L001.3w ADDRESS: 1'1ANNLN RD c1Tv. .T: WA ZI►: 992 le) APPLICANT: r t 1, L..4JRC C L --" CONTRACTOR: 4EORGL C ADDRESS: EANNk:i' RI) CITY' 1T: ANL WA ZIP: 99216 PM:LICRNIE* ',-!-)93H ARCH/ENGINEER: ADDRESS: erre: 5T: ZIP: PARCEL.: ..,I067 CCN1,)US TR: 1 1 Ci {/ (i 1i 0 INSPECTOR: PLAT.: ': '1 (111 LOT & BLOCK u i ,-+ 004 FINAL PLAT NAME:%1 ZONE.: ZONC AGSUB FSG 000 S-1 000 5-1 000 RSB ui'i, MOO • F'IXfORF:.<" USE OF PERMIT: 105 ADDRESS: ..,aNItic N RD PLUMBING PERM FT PLUMBING FIXTURES: Isar Sink 0 Drinking Fount 0 Floor Drain 01 Fee C/W Pipe 01 Dish Washer 0 Kitchen Sink 0 Laundry Tray 01 Sewer Eject 0 Water Closet 01 Lavatory 01 Urnal 0 Shower 0 Tub01 Bidet 0 Ocher 0 Garbage Disposal 0 Processing Fee 15.00 PROJECS 5E0.01 001515' DATE: .0/1t;/i:i ' L001.3w ._. t --" C\ 1111 PEES: $:39.00 PAID 5V: CA CK CG NC COUNTER APP: jf A. -Ne.. PLANS ERA': DATE: TOTAL FEE .ower ? Nt Septic/Health * 0 1li 1) - INSPECTOR'S COPY 4.00 I NSP -I D DATE p•l9�° G.�I- 2.5 --St 1 BLDG 7 PLBG li MECH MOBILE HOME w 0 RELOC z 0 y 0 ‘IFROJECT FINAL