1986, 05-15 Permit: 00011039 Furnace, ACSIGNATURE OF
APPLICATION
OWNER OR AGENT` DATE
JOB ADDRESS
N : A •T E':. RD
DATE:
(15/ 15/B6
OWNER:
"!' PVE:t4E1LIM, WERNER 3
MFCHANICAI. ' , Y
$,55.00
ADDRESS:
' UATES RD
C.rV: 1T: ZIP:
WA 99206
APPLICANT'
11.1il COMPANY
CONTRACTOR:
I-ofiof•1cE & FUE.::L, INC
ADDRESS
F.► .I:_O A ST
C IT V . ST: 21►1
t. WA 99202
PM' LICENSE*:
;, , BANNEFF•37E3NT
ARCM/ENGINEER:
ADDRESS:
PAID ■V:
CITU: ST: ZIP:
CR
X
CO
NC
PARCELS: 'CENSUS TR:
I
INSPECTOR:
DATE'
PLAT.:
LOT & BLOCH
FINAL
PLAT NAME.
ZONES:
ZONE
FSB
L;UU
5.1
(UU
5-2
000
RSE
000
MOD
F
URNAGL HIR COND
USE OF PERMIT:
JOB ADDRESS:
RD
M CHANJ CAL 1
1000
H AT :aYSTE.M
1 UCL SOURCE:
1'�;7RITsUTI[7N:
MECHANICAL PERMIT
PROJEC•
SEQ..:
0012205
DATE:
(15/ 15/B6
1110110,:;
MFCHANICAI. ' , Y
$,55.00
•
FEES: (�
$,35,00
PAID ■V:
CA
CR
X
CO
NC
COUNTER APP:
/
PLANS EXAM:
DATE'
TOTAL FEE
- 100K 01 100 500K 0 500 - 1000K 0 Fee
- 1750K 0 Over 1750K 0 Pres Vessel 0
BTU): 100K or Less 0 Over 100K 01 Fee
Electric N Gas N Oil Y Coal N Wooci N Solar N
Forced Air Y Radiant N Heat Pump N
INSPECTOR'S COPY
Processing Fee
$35.00
9,00
11.00
15,00
•
•
a
.
INSP-ID
DATE
a
Q
J
Ca
) 5 I
w
2
Ill
w
J2
CO -0
•0
2
w
0
0
0
-J
w
CC
Z
f
E
RD.JECT FINAL