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1985, 09-26 Permit: 00007714 Insert
SIGNATURE OF OWNER OR AGENT DATE APPLICATION "16305 E: ==D"ES" RIVERSIDE AV "°~= TYLER/ ALLEN MECHANICAL $20.00 ADDRESS: E RIVERSIDE AV "", VERADAL.E "`'WA �~�`9037 VALLEY/ FIREPLACE CONTRACTOR:. 8 1,1—,.. ."BOX 553 AV "", VERADALE 5, .0.: 9�'"'9O37 "°9-922-2780 `��"�''*177CC ".""/=°."""°. ^""°E""' ."="°°' ".,,` "`. `..` CG NC 135441351 "E°°""`"' DATE: '°"""C`°"' r�Y7�' U.,.,062 =`���"" 1) 511C 802 ~="` ~^"`""" EFLAT OF BLOCK 13 ZONE*: ".,^I NM "= 000 "-' U00 "'" 0O0 """ 000 =°" 005 INSERT """°'PERMIT: ^°:""""""� MECHANICAL PERMIT SEQ. °. 0008484 DATE: 09/26/85 ,"'"*. 00007714 MECHANICAL $20.00 == $20.00 ."="°°' CA "" CG NC COUNTER Appantiv PLANS ExAM: DATE: MECHANICAL TOTAL FEE APPL: Dry 0 Range 0 Cas Log 0 Cas W/H 0 Solid Fuel 01 Fee FUEL SOURCE: Electric N Gas N Oil N Coal N Wood Y Solar N Processing Fee - 7 _ V R�~� ~. �. "' $20.00 10,00 10.80 5 307u *2"p ! OFFICE COPY