1984, 10-19 Permit: 00002942 Wood Stove SIGNATURE OF APPLICATION
OWNER ( RAGENT �j«4��} DATE //
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4521 N VERCLER RD 0003085 10/19/84 00002942
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RAY , SUSAN C Mechanical Fee $20 . 00
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4521 N VERCLER RD
CITY: ST `'"'
SPOKANE WA 99206-0000
RAY/ SUSAN C
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CITY: "`' Z'"'
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ARCH/ENGINEER:
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CITY: "`' Z'�
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035420803 0999
'`=°' LOT&BLOCK FINAL
01)2544 004 002
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EVA 1ST ADD
ZONE*' ZONE FSB " 5 2 ""^ MOD
000 000 000 000
USE OF PERMIT: ""~"' PAID BY: CA C~ CO NC
WOOD STOVE 40, $20 , 00 X
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4521 N VERCLER RD N��" 10/19/8!
MECHANICAL PrR M I T
MECHANICAL TOTAL FEES $20 . 00
Processing fee Y Misc fee desc Amt $0 . 00 fee : $10 . 00
Appl : Dry 0 Range 0 Gaslog 0 Gas w/h 0 Solid Fuel 01 fee : $10 . 00
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