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1986, 05-07 Permit: 00010876 Wood Stove MONWMISONNMWWWW SIGNATURE OFAPPLICATIONOvVNERURAGENT 1646-166e � /;91/: DATE ~�' �� � ' ' JOB ADDRESS PROJECT# 17305 E "=. °`2029 "°=05/O. ./�''� 00010876 OWNER:LIGHT, CLEMENT ^ MECHANICAL 17305 E 4TH Av EENACRES "`'WA "'"'99016 LIGHT, CLEMENT J CONTRACTOR: LIGHT , CLEMENT J ADDRESS: 17305 E 4TH AV "`' QREENACRES WA 99016 '"' ""E""=*' 509-928-3514 ARCH/ENGINEER: "',`' ST . "^"=`~' 195521213 1 �AT*' LOT& BLOC K ~'�^ 00079200 013 001 PLAT NAME: APPLE VALLEY ESTATES 1ST ADD . `"N"*. ZONE FSB " . "'" RSB MOD RMH 000 000 000 000 WOODSTOVE =E"' $25 . 00 "^ "" Co °"$25 , 00 " ."" ^""="°' COUNTER 17305 E 4TH AV MECHANICAL PERMIT MECHANICAL TOTAL FEE $25 . 00 * APPL : Dry 0 Range 0 Gas Log 8 Cas W/H 0 Solid Fuel 01 Fee 10 . 00 FUEL SOURCE : Electric N Cas N Oil N Coal N Wood Y Solar N DISTRIBUTION : Forced Air Y Radiant N Heat Pomp N Processing Fee 15 . 00 O �- O7 -~ � 77 � O � * � � O � � " ' " . " " � � ^ " z � ~ " uv OFFICE COPY