1986, 03-03 Permit: 00009844 Gas PipingSIGNATURE OF
OWNER 0RAGENT
JOBABi-jRESS
MECHANICAL PERMIT
APPLICATION
DATE
` ' PROJECT#
M T
CHANICAL TO 'TA FEE
CAS PIPINc. SYSTEM; QoanTiTy 01 Fee
FUEL SOURCE. Electric N Gas N Oil N Coal N Wood N Solar N
Processing Fee
$18.00
3.00
15.00
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ADDRESS
CO TRACTOR:
POKANE
WA
99212
PARCEL-
CENSUS TR;
"T"
PLA NAME:
:,iRK ADD
USE O� PERMIT:
JOB AD RESS:
MECHANICAL PERMIT
APPLICATION
DATE
` ' PROJECT#
M T
CHANICAL TO 'TA FEE
CAS PIPINc. SYSTEM; QoanTiTy 01 Fee
FUEL SOURCE. Electric N Gas N Oil N Coal N Wood N Solar N
Processing Fee
$18.00
3.00
15.00
O��O�~O� O�0� �70OD�
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