1986, 09-22 Permit: 00013226 Water HeaterSIGNATURE OF APPLICATION
OWNER OR AGENT DATE
JOB ADDRESS
GLENN .�
""`""'
L:::.E. GEOFFREY J
,,D,"=
Z~ S QL[NN RD
c.,,. s" ,,
WA 9928(.
,,..='
./ D ... Ar
c.N`"^CTO"'
S ROEBUCK C`` '
^~"^^=
P.O. BOX 3707
""`' "" `'^'
SPOKANEWA 79220
""' `=~~""*'
509-489-1170 SE :813R*372NT
°"""'"=°E"".
ADDRESS:
"'``' "" `'"'
"^^C"=
310
`="==
899900
=""""TO°'
...-..
'`'O76300
LOT aBLOCK
010 004
=.^`
"`"`°^M=
CASTLEADD.
""""~.
ZONE
SFR
,""
5 1
"'Z
."°
~°~
WATER HEATER(CHANGL-OUT)
USE OF PERMIT:
^°=^"~""""'
:.21 S GLENN RD
MECHANICAL PERMIT
""==
11014710
""`~'
09/22
MFC�ANTCA�
$?�
FEES:
$21.50
,=~,E"^
elf)
PLANS EXAM:
MECHANICAL TOTAL FEE
APPL: Dry 0 Range 0 Cas Log 0 Cas W/H 01 Solid Fuel 0 Fee
FUEL SOURCE: Electric N Cas Y Oil N Coal N Wood N Solar N
Processing Fee
$21.50
6.50
15.00
�
�'-77~R6 ��lO� *�l�0�
OFFICE
^^ `~ .^^^� ^�.~v
-. •
INSP—I D
DATE To
CI
•
0
_I —
w
cc