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1985, 02-04 Permit: 00004092 Wood Stove
SIGNATURE OFA - APPLICATION OWNER OR AGE • /: _, . ��,�'�, . , DATE 02 t/- JOB ADDRESS: SEP. *: DATE: PROD*: 11312 E 17TH AV 0004348 02/n4/115 fl0h104(19 OWNER: PARI<IIURS'T', RICHARD Fl MprhAniral G'GIca t20 00 ADDRESS: 11312 E 17TH AV CITY: ST: ZIP: SPOKANE WA 992 06-0000 APPLICANT: FRKHUR a'T , RICHARD H CONTRACTOR: ADDRESS: CITY: ST: ZIP: PH: LICENSE*: ARCH/ENGINEER: ADDRESS: CITY: ST: ZIP: PARCEL*: CENSUS TR: INSPECTOR: 285422017 0999 PLAT*: LOT&BLOCK FINAL 0D2544 000 000 PLAT NAME: KOKOMO TOWNSITE ZONE*: ZONE FSB S-I S-2 RSB MOD AGSUD 000 000 000 000 USE OF PERMIT: FEES: PAID BY: CA CE CO NC WOODSI�T UVF.:. $2 0 1 0 0X JOB ADDRESS: COUNTER A/ PLANS EXAM: DATE: 11312 E. 17TH AV l.� 02./04/8 MECHANICAL PERMIT MECHANICAL TOTAL. FEES $20 . 00 Processing fee Y Misc fee desc.: Amt $0 , 00 fee : $10 , 00 Appi. : Dry 0 Range 0 Ga slog 0 Cas w/h 0 Solid Fuer. 01 fee : $10 , 00 rL O v w U LL. • LL Q 02 - 04 -85' 45,42 * 21101