1986, 11-03 Permit: 00013972 Wood StoveSIGNATURE OF
OWNER OR AGENT DATE
APPLICATION
ESS
PROJECT rF
5E0. *:
DATE:
FEES:
PAID BY:
COUNTER APP:
PLANS EXAM:
DATE:
MECHANICAL PERMIT
tI i i-IANICAL. TOTAL FEE:
AF'PLi Dry 0 Range 0 Gas Log 0 Gas W/H 0 Solid Fuel 01 1=et:,
FUEL L SOURCE: Electric N Lias N Oil N Coal N Wood Y Solar N
#i:ssTR:L}U't:I:t1Nc Forced Air Y Radiant N Heat Pump N
Processing Fee
INSPECTOR'S COPY
10,0
1,,00
l L7 *L i.. t
OWNER:
ADDRESS:
CITY:
5T: ZIP:
iAl f:i If X9 (.« 0‘
APPLICANT:
N ,
I ANDA1._L_ F'
CONTRACTOR:
ANDALL P
ADDRESS:
.,,.jWJ;1st' RF')
CITY:
ST: ZIP:
WA 99206
PH:
LICENSE*
ARCH/ENGINEER:
ADDRESS:
CITY:
5T: ZIP:
PARCEL#:
CENSUS TR:
INSPECTOR:
PLAT.:
'.i 0 l3 - 'i ti it
LOT & BLOCK
0 t
FINAL
PLAT NAME:
:„.IeI:..I4
ACI:.
ZONE.:
ZONE
1.1
iv f.:; :�., .kS
F5B
5-1
5-2
R50
MOD
USE OF PERMIT:
JOB ADDRESS:
I«,.5 la
DOW1 Ii.:'; I kt)
PROJECT rF
5E0. *:
DATE:
FEES:
PAID BY:
COUNTER APP:
PLANS EXAM:
DATE:
MECHANICAL PERMIT
tI i i-IANICAL. TOTAL FEE:
AF'PLi Dry 0 Range 0 Gas Log 0 Gas W/H 0 Solid Fuel 01 1=et:,
FUEL L SOURCE: Electric N Lias N Oil N Coal N Wood Y Solar N
#i:ssTR:L}U't:I:t1Nc Forced Air Y Radiant N Heat Pump N
Processing Fee
INSPECTOR'S COPY
10,0
1,,00
l L7 *L i.. t
INSP-ID
DATE
I 1 -l/
/I-tf- f/ f i 611 G
4
L7
m
-J
0-
-J
-2
.
J_2
m O
C
W
U
J
W
CC
PROJECT FINAL