1985, 12-02 Permit: 00008949 Fireplace SIGNATU5E OF APPLICATION
OWNER OAAGENT DATE
. .
~~2rr~t SPRINGFIELD AV "=° °' 832 "="'12/02/85 008949
MABLE MECHANICAL $20 . 00
r7-1177
E SPRINGFIELD AV
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.OKANE WA 99206
VALLEY/ FIREPLACE
' FIREPLACE
.8V BOX 553 AV
"n ADALE "`WA 99037
'~ 9-922-2780
ADDRESS:
".-,. ST. `.,.
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A"""="018l CENSUS TR:
R'K\l' 830O `oa'�Irr" 1 /2 FINAL
BOWDISH PLACE
�Yv� =" "-' "-8 "°° My"
,,".,UB 000 000 0"0 00 .,05
ZERO CLEARANCE FIREPLACE
~"E"' PAID "`' CA C° CO NC
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"" ="� SPRINGFIELD AV COUNTER
^"" '"`""""^=' DATE:
(PILB
MECHANICAL PERMIT
MECHANICAL TOTAL FEE $20 . 00
APPL : Dry ,..,0 Range 0 Cas Log 0 Cas W/H 0 Solid Fuel 01 Fee 10 . 00
FUEL SOURCE : Electric N Gas N Oil N Coal N Wood Y Solar N
DISTRIBUTION : Forced Air N Radiant Y Heat Pomp N
Processing Fee 10 . 00
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