1985, 12-02 Permit: 00008957 Wood Stove SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
""" °. DA. ,°"'�.
134O8 E 4TH AV 0009840 12/02/85 00008957
OWNER:
ART / EDWARD K MECHANICAL $20 . 00
"==""= E 4TH AV
CITY: ST:
"`'WA `'"'SPO99216
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' / FIREPLACE
CM:71��' FIRIEP LACE
Pppr"' BOX 553 AV
`" ADALE ST:WA ZIP:
" 99037
!TO9-922-2780 /\��17' *177CC
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"���K�= INSPECTOR:225419047 0 , , ,
01M4400 `"`fl in=" 00� ~'°^`
222544
Z°"°°. ZONE ~70 I'J0 Yi80 no 6
WOOD STOVE
USE OF ^E""'T' ~"E"' '^'~~`' CA CK `" NC
$20 . 00 X
^°�""""""� "°."-=",A� DATE:
lJ408 E 4TH AV ^� ^
MECHANICAL PERMIT
MECHANICAL TOTAL FEE $20 . 00
APPL : Dry 0 Range O Cas Log 0 Cas W/H 0 Solid Fuel 01 Fee 18 . 00
FUEL SOURCE : Electric N Cas N Oil N Coal N Wood Y Solar N
DISTRIBUTION : Forced Air N Radiant Y Heat Pomp N
Processing Fee 10 . 00