1986, 10-28 Permit: 00013882 FurnaceSIGNATURE OF
APPLICATION
OWNER OR AGENT DATE
JOB ADDRESS
27 E ktLOSSEY /k9 AV
DINNER:
(MILLAN, WM F
ADDRESS:
t ULO5SEY AV
CITY: ST: ZIP:
LUNE WA 99206
APPLICANT:
4CUBSINRHODES, INC
CONTRACTOR:
JACOB'S/RHOADES,INC.,
ADDRESS:
:r.:. W CLEARWATER AV
CITY: ST: ZIP:
f.4NEWICK WA 99336
PH: LICENSE.:
:lc- -*--.?1;:21 SACOI1R*342LF
ARCH/ENGINEER:
ADDRESS:
CITY: ST: ZIP:
PARCELS:
J.7ti421415
CENSUS TR:
u99900
INSPECTOR:
•LATO :
002:i/4400
LOT & •LOCK
002 027
FINAL
PLAT NAME:
OPPORTUNITY TERRACE 3R1
ZONE=;
ZONE
P'511
5 - I
S - 2
R513
M00
(,AS FURNACE - 600011 BTU
USE OF PERMIT:
JOB ADDRESS:
...:., . .:LOSSEY AV
PROJECO
UM 0:
0015420
OATE:
10/26/86
NECHANICAL 1?7.00
FEES:
PATO SY:
CA
Ck
00
PC
COUNTER APP:
PLANS EXAM:
DATE,
MECHANICAL PERMIT
MECHANICAL TOTAL FEE
GAS PIPING SYSTEM; Quantity 01 Fee 3.
HEAT SYSTEM (BTU): 100K or Less 01 Over 100K 0 Fee 9.0.
FUEL SOURCE; Electric f Gas N Oil N Coal N Wood N Solar N
Processing Fee 15.00
•
INSPECTOR'S COPY
INSP-ID
e(p
/dao-
gto
-; 7
DATE
Al II --
'{dA
r( 4