1984, 11-06 Permit: 00003223 Wood Stove SIGNATURE OFAPPLICATIO nn nC�}Q
OWNER OR AGE ���. Q DATE J - CO) /7
JOB ADDRESS: 5E0. *:4 DATE: PROJ*:
3509 N VELOX ST 0003391 11/06/84 00003223
OWNER:
DI': ATON > HUBERT Mechanical Fee $20 . 00
ADDRESS:
3509 N VELOX ST
C ITV: ST: ZIP:
LIBERTY LAKE WA 99019-0000
APPLICANT:
X}L:.AT ON, HUBERT
CONTRACTOR:
ADDRESS:
CITY: ST: ZIP:
PH: LICENSE*:
ARCH/ENGINEER:
ADDRESS:
CITY: ST: ZIP:
PARCEL*: CENSUS TR: INSPECTOR:
065540308 0999
PLAT*: LOT& BLOCK FINAL
01)2545 008 002
PLAT NAME:
DONWOOD EAST
ZONE*: ZONE FSB 5-1 S-2 RSB MOD
RMH 00C 00t, 00G 00U
USE OF PERMIT: FEES: PAID BY: CA CK CG NC
WOOD STOVE y��.// 20 , 00 X
JOB ADDRESS: COUNTER AP/0 'PLANS EXAM: DATE:
3509 N VELOX ST / 11/06/8
MECHANICAL P R M I T
MECHANICAL TOTAL FEES $20 , 00
Processing fee Y Misc fee desc Art $0 . 00 fee : $10 . 00
Appi : Dry 0 Range 0 Gasiog 0 Gas w/h 0 Solid Fuel 01 fee : $10 . 00
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