1986, 11-05 Permit: 00014014 InsertSIGNATURE OF
APPLICATION '
OWNER OR AGENT - DATE
JOB ADDRESS PROJECT
10117 E NORA
AV
SABO. DONALD R
4
10117 E NORA
AV
SPOKANE Sf WA
99206
VALLEY, FIREPLACE
c
UM 1FY FTRFPI ArF
5
18610 E SPRAGUE
AV
ST
VFWAT)AI F • I,IA
Z1•.
99017
.K.
509-922-2790
L,CBKBB..
VALLEF*177CG
ARCM/ NGIKEBA.
ADDRESS
CITY: ST.
ZIP:
ORE144(1 iO4
NSUS TR:
119990f1
1N5 B�TOK.
nL FTx
00048100
LOT & BLOCK
007
001
FINAL
MTRSTnN HTI I S RIlp
,0.,5-
AGSM: N,.5B
5-,
5-2
a5B
COB
FTRFPI ArF TNRFPT
i......55
10117F NnRA
AV
DATE
001 5568
11/05/B6
000'14014
FrHANTCAL. $25.00
PA D BY
25.00
CG
GC
COG TE
PLA
A
OA
MECHANICAL PERMIT
MECHANICAL TOTAL- FEE.
APPL: Dry 0 Range 0 Gas Log 0 Gas W/H 0 Solid Fuel 01 Fee
FUEL SOURCE: Electric N Gas N Oil N Coal N Wood.Y Solar N •
DISTRIBUTION: Forced Air N Radiant Y Heat Pump N
Processing Fee
$25.00
10.00
15.00
11'-05-86 618.15 *25.006
OFFICE COPY
n
rn