1986, 09-22 Permit: 00013230 Insert .
APPLICATION
PPL|CAT|0N
OWNER OR AGENT DATE
JOB ADDRESS PROJECT#
"=. ~' ==09/2?/�6 00013230
ttillre E 4TH AV 00147l3
==""' MECHANICAL $25 . 00
FLOBE��/ DARROLD -
ADDRESS:
18408 E 4TH AV ,
c.,,. Sr: ..
GREENACRES WA 99016
°''"="`'
VALLEY/ FIREPLACE
~"~`="`""'
ALLEY FIREPLACE
16610 E SPRAGUE AV
"�,. ",. ZIP:
VERADALE WA 99037
�. LICENSE*:509-922-2780 VALLEF*177CC
ARCH/ENGINEER:
i. ="""=
CITY: "" ZIP:
1 ~""=~. =°="`". ."","",=`
195510603 899900
PLAT*: LOT wBLOCK FINAL
0D254500 001 019
,`°,=NI=
CORBIN ADD TO GREENACRES
=°"°. ZONE FSB "'. °'" RSB MOD
AGRI G
FIREPLACE INSERT CA = "° NC
USE = PERMIT: $25 , 00 X
"~E.
18408 E 4TH AV
MECHANICAL PERMIT
TOTAL FEE $25 . 00
"' ' � '
jECHANICAL 0 Range 0 Cas Log 0 Cas W/H 0 Solid Fuel 01 Fee 10 . 00
FUEL N�
S~` �' E ; Electric N Cas N Oil N Coal N Wood Y Solar N ^
DISTRIBUTION ; Forced Air N Radiant Y Heat Pump Nprocessing Fee 15 , 00
- '6 57l8 * � �OO -Y
OFFICE COPY