1986, 11-05 Permit: 00014007 Piping ANOMMOOmpimmumWSUPOWIrwimmINOW
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SIGNATURE OF APPLICATION
OWNER OR AJT DATE
JOB ADDREPROJECT#
"= ~' ~^-~'
1809 N RAYMOND RD 8815563 1 /05/86 00014007
"°"=
HAYNFS, G\ FNDA K MECHANICAL $18 . �
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1809 N RAYMOND RD Amount Difference $2 .
on, °,. � .
SPOKANE WA 99206
BYRON
CONTRACTOR:
H . SERVICES
^""=""'
1628N HOLLISTON ST
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SPOKANE WA 99201
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509-459-8578 HJSER**151QN
ARCH/ENGINEER:
^"D°""°'
CITY: Sr: `'~
"^"=^= C"""~"= =°^"``~^'
085440474 ^;00
.""= LOT & BLOCK FINAL
00004800 800 002
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VALi EY3TA SU
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ACSUB
r�S PTPING
""" ", ,""=.,. ,""". PAID BY: CA = = NC
$20 . 80
JOB ADDRESS: ""..-= ^.. PLANS EXAM: DATE:
8P N RAYMOND R� )
MECHANICAL PERMIT
MECHANICALTOTAL FEE $18 . 80
GAS PIPING SYSTEM : Quantity 01 ' Fee 3 . 00
FUEL SOURCE : Electric N Gas Y Oil N Coal N Wood N Solar N
Processing Fee 15 . 08
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1l _ �D9 -O6 6l6O * 780Ou
IGNATURE OF APPLICATION
OWNER OR AGENT__. DATE
OPOB ADDRESS PROJEC
SEQ..: DATE:
WNER:
°DRESS:
ITV: ST: ZIP:
PPLICANT:
ONTRACTOR:
.ODRESS:
ITY: ST: ZIP:
H: LICENSER:
RCH/ENGINEER:
DDRESS:
ITT: 5T: ZIP:
ARCELS: CENSUS TR: INSPECTOR:
LAT.: LOT & BLOCK FINAL
LAT NAME:
ONES: ZONE FSB S-1 S-2 RSB MOD
I n
SE OF PERMIT: FEES: PAID BY: CA CK CG NC
Se ADDRESS: COUNTER APP: PLANS EXAM:
DATE:
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