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1985, 06-19 Permit: 00005989 Wood Stove S\GNATUREOFAPPL|CAT|ON OWNER OR AGENT 72, reio.g -A~ts1 P^-Cle =^+- DATE 6-7—/9-a5- /S 'Ro,� JOB ADDRESS: SEQ. *: DATE: PROJ*: 4415 ^ 8 SKIPWORTH RD 0006394 06/19/85 00005989 °°°= JOHNSON , R H Mechanical Fee $20 . 00 ^"""E"" 4415 S SKIPWOR TH RD CITY: "`' ZIP: CREE:NACRES WA 99016-0000 APPLICANT: JERRY MER TENS CONTRACTOR: =="""' CITY: ST: ZIP: "~' LICENSE*: ARCH/ENGINEER: ADDRESS: ,",' S, `,' ^~^"~`°' "°""""= ="^"=`°~' 044420501 0999 .`~-= LOT&BLOCK FINAL 004442 008 002 "=`="= MYRON EST 1ST ZONE*: ZONE FSB S 1 " " RSB MOD SFR 000 000 000 0O0 USE OF PERMIT: FEES: PAID BY: CA CK = NC WOOD STOVE $20 . 00 X JOB ADDRESS: C".°,". ^��. '=="."°. DATE: 4415 S SKIPWORTH RD �� 06/19/85 MECHANICAL PERMIT MECHANICAL TOTAL FEES $20 . 00 Process inq fee Y Misc fee desc Amt $0 . 00 fee $10 . 00 Appl ; Dry 0 Range 0 Caslog 0 Cas w/h 0 Solid Foe?' 81 fee $10 . 00 • 6 -1 9 --8 55 3 0 1 7 u *7 8 x _ _ __ ~-_,~_~~___„.4,___