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1986, 10-01 Permit: 00013373 Insert
. SIN ~UREOF ^I � APPLICATION //Y /" DATE ' ~ / // 8 OWNER ORAGENT `' ' ^~ ' , �' � JOB ADDRESS PROJECT# 1897q E 21ST AV ="� °' 871 ~="'10/01/0(, 0001337 . OWNERMECHANICAL $25 , 00 / � , YVONNE L ' ADDRESS: E: 21ST AV ='``�KANE ""WA ""' 9206 _ HAAS/ YVONNE L ==-~=`""' .� � : YVONNE L ADDRESS:10921 E 21ST AV .....- Sr. Z., °OKANE WA 99206 ^°' """=°*' 509-922-9803 ARCH/ENGINEER: ^"D""= CITY: = ,.'. '°"=`~' C"""""= '~=~~`~^' 285422709 000900 "="~' 4400 �~wBLOCK 0270Op FINAL "=`"^M= KOKOMO TOWNSITE AG`"°"*. `""ES = ° " ` 5-2 RSB MOD OB FIREPLACE INSERT USE OF PERMIT: FEES: PAID BY: CA = "" NC $25 . 00 , ^==""="' "°"="" ^~"' [ "`^""=^=' == 10921 E 21ST AV ^`Jke~— MECHANICAL PERMIT TOTA[ FEE 425 , 00 MECHANICAL ' APPL : Dry 0 Range 0 Cas Log 0 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 N Radiant Y Heat Pomp N � Processing Fee 15 . 00 \ °" 1 O - O �-" 6 5 3 86 * 2 5OO6 OFFICE COPY