1986, 08-20 Permit: 00012731 Furnace, PipingS|GNATURE0F
APPLICATION
OWNER ORAGENT DATE
JOB ADDRESS
9619 [ 9TH AV
°°~=
SAHLBERG/ ETUXWILLIAM
=
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9619 E 9TH ` AV
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SPOKANE WA 99206
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AIR/ DESIGN HEATING
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AIR DESIGN INC
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1607 E FRANCIS AV
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SPOKANE WA 99207
PH. LICENSE*:
509-487-4328 AIRDEI*161JW
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;:::.05431406
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009900
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«099100
LOT wBLOCK
806 004
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-?WOOD FOREST
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ZONE
SFR
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MOD
CAS FURNACE PIPING
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9619 E 9TH AV
PROJECT #
0014120
DATE:.
'
1012731
MEL;HANICAL 7.00
-~=
$27.00
COUNTER APP•
PLANS ExAm:
MECHANICAL PERMIT
MECHANICAL TOTAL FEE $27.00
CAS PIPING SYSTEM: Quantity 01 Fee 3.U0
HEAT SYSTEM (BTU): 100K or Less 01 Over 100K 0 Fee 9.08
FUEL SOURCE: Electric N Cas Y Oil N Coal N Wood N Solar N
DISTRIBUTION} Forced Air Y Radiant N Heat Pomp N
Processing Fee 15.00
-
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SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
JOB ADDRESS PROJECIP
SEQ. .: DATE:
I'
OWNER:
ADDRESS:
CITY: ST: ZIP:
APPLICANT:
CONTRACTOR:
ADDRESS:
CITY: ST: ZIP:
PH: LICENSE.:
ARCH/ENGINEER:
ADDRESS:
CITY: 5T: ZIP:
PARCEL CENSUS TR: INSPECTOR:
PLAT.: LOT S[ BLOCK FINAL
PLAT NAME:
ZONE.: ZONE ESB S-I S RSB MOD
USE OF PERMIT:
FEES: PAID BY: CA CK CG NC
G . 11/ c..-# M Vrr
JOB ADDRESS:
V COUNTER APP: PLANS EXAM: DATE:
•
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