1986, 12-10 Permit: 00014482 Heat Pump, ACSIGNATURE OF APPLICATION
OWNERORAGENT DATE
JOB ADDRESS PROJECT
19rIF; R FART Y nA61N DP
MILLER. LAWRENCE A
1905 ' S EARLY DAWN DR
VERADALE WA 99037
Ap.a.,
IR, TECH
ATP Trr.H
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7820 FRANKLIN ST
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ARCH/ENGINEER .
ADDRESS
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INS ECTOR
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DATE
12/1 0/RA
000144R7
MFfHANTCAI $30.50
Pee
cou
PAW BY
CG
PLA
A
DATE
MECHANICAL PERMIT
MECHANICAL TOTAL FEE
AIR HANDLING (CPM) : 10K or Less 01 Over 101< 0 Fee
FRIDGE: 1 -- 1001< 01 100 -- 5001< 0 500 - 10001< 0 Fee
1000 - 17501< -0 Over 1750K 0 Pres Vessel 0
FUEL SOURCE: Electric N Gas N Oil N Coal. N Wood N Solar N
DISTRIBUTION: Forced Air N Radiant N Heat Pump Y
• Processing Fee
12-1'0'-86
OFFICE COPY
$30.50
6.50
' 9.00
15.00'
67559 *30.50
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