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1984, 06-01 Permit: 00000472 Wood StovePI SIGNATURE OF OWNER OR AGENT ./S IMAM HEROY AV rEN, 'LOWELL E T t 1i4 E HEROY AV rOKANE ET`WA ‘Z'R:99216-0000 'gfttn, LOWELL E ADDRESS: ✓R. LICENSES: .R N,e D,NEER. ' ADDRESS: CfT, POST4i 0712 if , sijTR• INS ECTDR. tV1541 LOT "0`0'78 012- "I' i'VENTWOOD ORCHARDS ZC 1E* ZONE obo 'oto '0o TTTooV moo `3 E Uotif STOVE 1T7Yf45°E HEROY AV DATECATION 0 '6 0 / p'`/ ' ¶000433 DATE,06/01 /84 "0000472 Mechanical Fee $40.00 $40.00 PAID BY. CG NC 6T6io1/sd MECHANICAL M I T MECHANICAL TOTAL FEES $40,00 Processing fee Y Misc fee desc Amount. $0.00 fee: $10.00 Appl: Dry 0 Range 0 Gaslog 0 Gas w/h 0 Solid Fuel 03 fee,; $30.00 OFFICE COPY 46IM '040,00'6