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1986, 12-11 Permit: 00014508 Fireplace
SIGNATURE OF OWNER ORAGENT JOB ADDRESS 4505 N EVERGREEN i . RD ' ""ENC, DONALD Q ^ . T"= N EVERGREEN � RD 12.;15.0kANE �"`'WA "'99216- . 1UALyE'/ FIREPLACE . • . VALLEY FIREPLACE . . ^"=""661= � Taro E SPRAGUE | ` . AV CITY: = VERADALE � WA ZIP: ' /L99037 . 09-922-2780 "=="=F*177CC = °" . ^"D"""". ; . . "`' , � . . , 035412103 - 099900. '015h4400 `=an""" `051 ~'°^` ""`"^==WOOD ORCHARD =°"= 'OS UB =" 5-1 5-2 "= Mr FIREPLACE INSERT. , . """O~""""'`' . 4505 N EVERGREEN. ' RD MECHANICAL PERMIT 1 MECHANICAL TOTAL. FEE AP9LI'Dry':_0 Range` 0 Cas L0g 0 Cas W/H 0 Solid Fuel 01 Fee FUEL_SOUR��! Electric N Gas _N�Oil N�Coal N_WVod N. Solar'N DISTRIBUTION: Forced Air N Radiant.Y Heat Pump H' APPLICATION DATE PROJECT# SEC, .: 0016129 DATE: 08014508 MECHANICAL $25.00 . . • . • . ^ . • . . ' . . FEES: $25,00 ""'" ",' "^ �K = °" "~"~-"".= ="~"",.= . DATE: �,,,�����" Fee Processing 1 $25.00 10.00 15.00 12-11-~�6 ' 6`788'5 *25006