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1986, 10-03 Permit: 00013409 Insert
S|GNATUnE0F APPLICATION OVvNEROR4GENT .^o, �'�� ~��:.,,AnrDATE JOB ADDRESS PROJECT# ^ SE 6"/-:_...6"/-:_... E 22N',,, � �' 90 "^= . 13409 ""~"=H/ EDWAR -+T ME $25 . ^ `/ ADDRESS: 67! 7 ''ND ""`' = "'"' WA ^''"=~`' CONTRACTOR: 'L MASONRY INC [ TRENT AV ".-,. STZIP: ANE WA 99212 "= " =��-0792 "=�"�" I177LH °"='""~="".. ~""""= CITY: STZIP: '°==~' "~=""= ="'=~"~' 245312002 O99908 "="°' 43O0 �T* BLOCK 020 FINAL 0D25PLATN"°E: MILLER 'S PARK ADD `"""~' ZONE ~"" S I S ` RSB MOD MFS MASONRY FIREPLACE W/INSERT ,""= ,^." ",. CA "" CO NC :;, ^ . '= ^"=E"°. "°"~,"" ^,~ ~^~" ""^M. DATE. 6712 E PND AV . MECHANICAL PERMIT iMECHANICAL TOTAL FEE $25 . 00 k APPL : Dry 0 Range 0 Cas Log 0 Cas W/H 0 Solid Fuel 01 Fee 10 . 08 FUEL GOURCE � Electric N Cas N Oil N Coal N Wood Y Solar N DISTRIBUTION / Forced Air N Radiant Y Hea� Pomp N Processing Fee 15 . 80 �—� � 8 � � � � � 5, 00J OFFICE " " ' . � ^ � ^