1986, 12-16 Permit: 0016165 Gas Furnace S|GNATURE0F J' � APPLICATION
OWNF,R OR AGENT � -� DATE I
JOB ADDRESS PROJECT#
SEQ. S. DATE:
9O8 E BROADWAY AV 12/16/86 00014539
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CHER ` GERALD M $27 . 00
ADDRESS:
8 BROADWAY AV
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WA 99212
�E�ALD M
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. GERALD M
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8 E BROADWAY AV
KANE WA 99212
'". LICENSES:
-535-5618
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".,,. =` ZIP:
,^°"E= C"""""= INSPECTOR:
LOT& BLOCK FINAL
015 0 ��
,`^,"^M..
ZONE=: ZONE FSB 5 I S 2 RSB MOD
S FURNACE/PIPING
..~ "' ~""=,. FEES: PAID BY: CA CK = NC
$27 . 00
JOB ADDRESS: COUNTER A ~^"" === DATE:
BROADWAY AV
MECHANICAL PERMIT
iE NICAL TOTAL FEE $27 . O0
GASPIPING SYSTEM : Quantity 01 Fee 3 . 00
HE (BTU) : 100K or Less 01 Over 100K 0 Fee 9 . 00
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
l � � �� � � 6R �� � *7 � OO '
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OFFICE COPY