1985, 01-08 Permit: 00003864 Water HeaterSIGNATGRE OF
O•WNER.OR AGENT
'a515p S BLAKE RD
0MULARSKI, J
.5'1E5 S BLAKE RD
ET P.
SPOKANE WA 99216-0000
SEARS-OWENS
SEARS
.....
BOX3707 TA
ET: LIP:
(SPOKANE WA 99220-0000
ICENSE=:
P509-489-1170 SEARSR*372NT
.N N,E �INEEE.
CIT, S, LIP:
225410615
CENSNB T .
0999
INS ECTOF.
P 01)2544
LOT & E
000 000
PINPL
P`MOORES SUBURBAN HOMES
ZONE*.
LONE
00C
00(
00( 00(
GASWATERHEATER
NES BLAKE RD
'o515
APPLICATION
DATE
gE0004104
DATE;
01/08/05
00007RA4
Merhaniral Fan t1A n0
DIFF, FEES & AMT DUE $4.00
PEES:
$20.0
PMIO B
CA
C
X
CO
COUNTER
ALA A
01/OR/0
WECHANICAL• f PERMI T
MECHANICAL TOTAL FEES $16.00
Processing fee Y Misc fee desc Amt $0.00 fee: -$10.00
Appl: Dry 0 Range 0 Gaslog 0 Gas w/h 01 Solid Fuel' 0 fee: $6.00 ,
OFFICE COPY
01-08'-8:5' 7.45 *2.09,6