1986, 09-24 Permit: 00013278 Wood Stove ' -m4
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SIGNATURE OF, APPLICATION
OWNER OR AGENT DATE
JOB ADDRESS PROJECT#
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� a3� 3 E R1^ 0014761 09/24/8/ `78
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P8�� . 1:CHARD A JR MECW,' 7,AL ' . 60
14 c RICH �v
""WA 9 9216
POTT RICHARD A JR
JTLx / RICHARD A JR
. p313 E RICH AV
Cr`. s` "w.
SPOKANE WA 99216
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509-926-3271
ARCH/ENGINEER:
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025422204 099900
~",= LOT aBLOCK "..`
00001900 004 0Q2
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THROOP & K ' ' SUB .
`"°"~. ZONE
WOODSTOVE
*25 , 00
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� 4313 E RICH AV /"O)
MECHANICAL PERMIT
MECHANICAL TOTAL FEE $25 . 00
ApPL1 Dry 0 Range U Cas Log 0 Cas W/H 0 Solid Fuel 01 Fee 10 . 00
FUEL SOURCE1 Electric N Cas N Oil N Coal N Wood Y Solar N
DISTRIBUTION : Forced Air N Radiant Y Heat Pomp N
Processing Fee 15 . 00
09774 - 6 5768 * 2500 �
OFFICE COPY