1985, 10-18 Permit: 00008166 Insert SIGNATURE OF - I ,� f APPLICATION
OWNER OR AGENT �/rv' , DATE
JOB ADDRESS: SEP. a: DATE: PROJ*:
AV 0008962 0/18/85 00008/66
OWNER:
T , ROBERT D MECHANIC:A $20 . 00
ADDRESS:
AV
CITY: ST: ZIP:
WA 97'(��
216
APPLICANT:
i , ROBERT a
CONTRACTOR:
f , ROBERT D
ADDRESS:
` KYv1EW AV
CITY: ST: ZIP:
W A 99216
PH: LICENSES:
ARCH/ENGINEER:
ADDRESS:
CITY: ST: ZIP:
PARCEL*: (II CENSUS TR: INSPECTOR:
IJ a.
PLAT*: LOT& BLOCK FINAL
00 004 001
PLAT NAME:
ZONE*: ZONE FSB 5-I S-2 RSB MOD
SUB UUU UUU o00 0000 o0b
NSEi:RT
USE OF PERMIT: FEES: PAID BY: CA CK CO NC
$26 . ,
JOB ADDRESS: COUNT de PLANS EXAM: DATE:
AV
MECHAirICAL.. PERMIT /
E+I i IiANIT:;AI._ TOTAL.. FEE $20 , 00
APPL : Dry U Range U Gas Log 0 Gas W/H 0 Solid Fuel 01 Fee 10 ,00
FUEL SOURCE.: ; Electric N Gas N O7.1 N Coal N Wood Y Solar N
DISTRIBUTION : Forced Air. N Radiant Y Heat t PuMp N
Processing Fee 10 . 00
•
0
U
Cc
0
H
U
LU
z
;0../4
•
1 SET BACKS
2 FTGS& FORMS
3 STEEL
4 PROGRESS
5 BOND BEAMS
6 ROOF DECK tr
C
7 FRAMING
8 INSULATION r-
9
9 SPECIAL INSP,
10 ASSEMBLY
11 FIREPLACE
12 EXTERIOR FINISH
13 DRYWALL
14 EXT. GRADING
15 FINAL
16 GRD. PLBG.
17 WATER PIPING
18 DWV TEST
19 FIXTURES -°
r-
20
20 SEWAGE DISP. r-
21 SEWER
22 illifkTER HEATER
23 OGRESS
24 WATER SERVICE
25 ROOF DRAINS
26 FINAL
38 VENTILATION SYS,
39 PLENUM & DUCT
40 GAS TEST
41 FURNACE
42 DAMPERS
43 INLET/OUTLET i
44 COMPBUSTION AIR
45 COMPRESSOR
46 APPLIANCE D
47 FIRE DAMPER r-
48 SMOKE DETECTOR
49 HOODS
50 PROGRESS
51 FINAL
52 FINAL INSP. I 0
53 FIRE PREVENT. I
54 OCCUPANCY/TEMP.
55 REQUESTED
56 OCCUPANCY/FINAL
57 OCCUPANCY/OTHER m
58 COMPLAINT/ZONE
59MPLAINT/BLDG. D
60 `COMPLAINT/OTHER r
COMMENTS: