1986, 11-13 Permit: 00014134 Insert S/GNATUREOF APPLICATION
OWNER OR AGENT DATE
JOB ADDRESS PROJECT#
~^-=
11(�Sr-r 17TH AV 0015705 . ' 000
"~~=
`��rFIELD/ H M uECHANICAL ;25 , 00
ADDRESS:
;: 1622 E 17TH AV
ST:
OK ANE WA 99206
WHITE, BOYCE
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. . FIREPLACE
~""°"""'
16610 E SPRAGUE AV
""
VERADALE WA 99037
PH:
509-922-2780 VALLEF*177CC
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~""^~""'
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285411302 099900
,"AT= LOT&BLOCK FINAL
0080 002 003
~^`^^==
VIEW
FSB S I S , RSB MOD
| AGSUB
.E INSERT
""E °~ ~"""'`' ~"= PAID BY: = "" CO NC
$25 , 00
.~E.
622 E 17TH AV
MECHANICAL PERMIT
MECHANICAL TOTAL FEE $25 . 00
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
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OFFICE COPY