1986, 12-11 Permit: 00014504 Wood StoveSIGNATURE OF
OWNER OR AGENT
V19 E BKu�AV
OWNER:
CER/ MARY E
^D7'756' E BROAD AV
TT15: KANE WA �92|6
lutm,ER, MARY E
CONTRACTOR.:
R/ MARY E
A14907 DDRESS: E BROAD AV
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.PY�KANE WA 99216
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APPLICATION
. DATE b^e //. /qgC-
"="'12/11/86
00014504
ANICAL
~~=
*25.00
PAID BYI
"
G N
COUNTER APP•
PLANS EXAM:
MECHANICAL PERMIT
MECHANICAL
TOTAL FEE
^APPLI Dry 0 Range 0 Cas Log 0 Cas 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 Pomp N
Processing Fee
$25.00
10.00
15.00
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