1986, 03-04 Permit: 00009888 Wood StoveSIGNATURE OF
OWNER OR AGENT
IBA 14 /././,
APPLICATION _ G
DATE D (O
JOB ADDRESS PROJECT
2805 6 BATES
DUCKWORTH, DON R
ME99.
2805 S BATES
SPOKANE WA
Zi
99206
DUCKWORTH, DON R
DUCKWORTH, DON R
2805 6 BATES
SPOKANE S.: WA
99206
PR
509-928-1056
L .E.:
ARcHeNoNu
AooReee
ZIP
285441423.
IeErE ET
109998
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AT—DoT
& a
014
023
F.P017254400
282544
Z0NN-.
ZONE
000
-
5000
-,
5000
8000
MF
WOOD STOVE
280�Cz5.6 BATES
DA
0010896
03/04/86
00009888
MECHANICAL $25.00
SS
$25.00
PAID BY
A
CC
NC
COUNTER App.*
PLANS ESA
OATH
MECHANICAL.. PERMIT
MECHANICAL.. TOTAL.. FEE
APDL..; Dry 0 Range 0 Cas Log 0 La<., W/H 0 Solid Fuel 01 Fee
FUEL SOURCE: Electric N Cas N Oil. N Coal N Wood Y Solar N
DISTRIBUTION: Forced Air N Radiant Y Heat Pump N
Processing Fee
03704-86
OFFICE COPY
$25.00
1000
15.00
90,3:5 *25.00