1986, 09-16 Permit: 00013132 Fireplace InsertAGNATUREOF
]WNERORAGENT
JOB ADDRESS
MECHANICAL PERMIT
APPL|CAT0N
DATE
MECHANICA1 TOTAL FEE
APPL; Dry 0 Range 0 Gas Log 0 Cas W/H 0 Solid Fuel 01 Fee
FUEL SOURCE; Electric N Cas N Oil N Coa] N Wood Y Solar N
DISTRIBUTION/ Forced Air N Radiant Y Heat Pomp N
Processing Fee
OV-l�-R� �O8��
.' �. ~. '"°��OFFICE COPY
$25.0U
10.0O
15.80
*��O0l
�.".0
BROWN, ROBERT I
72171 ("3' N LEWIS
RD
CIT : Sw
8P0KANr7*: UA
79212
V AA It IL E Y F07
16610 E 6PRAGU11
AV
VERADALE WA
9903;-,
IE35420522
099 00
00010500 IWT005
004
LAY NAME:
BASCETTA'S ADD,
AS
AGSUB
CIS
is
FIREPLACE INSERT
JSK OF PERMIT:
108 AD ESS:
1 18 N LEWIS
RD
MECHANICAL PERMIT
APPL|CAT0N
DATE
MECHANICA1 TOTAL FEE
APPL; Dry 0 Range 0 Gas Log 0 Cas W/H 0 Solid Fuel 01 Fee
FUEL SOURCE; Electric N Cas N Oil N Coa] N Wood Y Solar N
DISTRIBUTION/ Forced Air N Radiant Y Heat Pomp N
Processing Fee
OV-l�-R� �O8��
.' �. ~. '"°��OFFICE COPY
$25.0U
10.0O
15.80
*��O0l
�.".0