1986, 05-09 Permit: 00010945 Furnace, Water HeaterSIGNATURE OF
OWNER OR AGENT DATE
APPLICATION
JOB ADDRESS
10912 E MAXWELL AV
RAT, MICHAEL G
10912 E MAXWELL ."i+V
SPOKANE WA 99206
ANDERSON'S, SHEET METAL
ERIC"'
13903 E. TRENT AV
SPOKANE WA 99216
t.ICEr.4E=:
509--928-0960 ANDERSM158NZ
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CITY: ST. ..:
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165421407 10999�
INS Eor..
01)254400
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007 003
FINA.
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GAS FURNACE & WATER HEATER
10912 pzSE MAXWELL. AV
PROJECT#
0012104
05/09/86
00010945
MECHANICAL $33.50
PAID BY.
$33.50
CG
COU
R PP
PLA A
DATE
MECHANICAL.. PERMIT
MECHANICAL TOTAL FEE
APPL: Dry 0 Range 0 Gas Log 0 Gas W/H 01 Solid Fuel 0 Fee
GAS PIPING SYSTEM: Quantity 02 • Fee
HEAT SYSTEM (BTU): 1001< or Less 01 Over 1001< 0 Fee
FUE.L.. SOURCE: Electric N Gas Y Oil. N Coal N Wood N Solar N '
DISTRIBUTION: Forced Air Y Radiant N Heat Pump N
Processing Fee
05,09;86
OFFICE COPY
$33.50
6.50
3.00
9.00
15,00
2313.2 *3.3.5:0,
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DATE
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