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1984, 09-13 Permit: 00002271 Wood Stove SIGNATURE OF ' '^��~J� APPLICATION / OWNER OR AGENT ""Th444 r • �� ?/ '' '� DATE JOB ADDRESS: SEQ. *: DATE: PROD*: 14517 E 17TH AV 0002362 09/13/84 00002271 OWNER: OVNICEK > KENNETH T Mechanical Fee $20 . 00 ADDRESS: 14517 E 17TH A V Cr, ST: ZIP: VERAX)ALE WA 99037-0000 APPLICANT: OVNICEK , KENNETH J CONTRACTOR: ADDRESS: CITY: ST: ZIP: PH: LICENSE*: ARCH/ENGINEER: ADDRESS: CITY: ST: ZIP: PARCEL*: CENSUS TR: INSPECTOR: 265429048 0999 PLAT*: LOT&BLOCK FINAL UD2544 002 026 PLAT NAME: 262544 ZONE*: ZONE FSB S-1 S-2 RSB MOD 000 000 000 000 USE OF PERMIT: FEES: .PAID BY: CA CK CG NC WOOD STOVE $'30 . 00 X JOB ADDRESS: COUNTER APP PLANS EXAM: DATE: 14517 E 17TH AV - 09/13/OL MECHANICAL E R M I T MECHANICAL. TOTAL FEES $20 , 00 Processing fee Y Misc fee desc Amt $0 , 00 fee : $10 , 00 Appl : Dry 0 Range 0 Gaslog 0 Gas w/h 0 Solid Fuel 01 fee : $10 . 00 O U W 0 LL LL O 09 -1 .5 -84 695, 15 * 20,Pf