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1984, 05-30 Permit: 00000414 Water Heater SIGNATURE OF APPLICATION OWNER OR AGENT DATE JOB ADDRESS: SEQ. *: DATE: PROJ*: 11212 E 22ND AV 0000381 05/30/84 00000414 OWNER: MCCOY, JAMES Mechanical Fee $16 . 00 ADDRESS: 11212 E 22ND AV DIFF . FEES & AMT DUE $4 . 00 CITY: SPOKANE WA 99206-0000 APPLICANT: SEARS-OWENS CONTRACTOR: ADDRESS: CITY: ST: ZIP: PH: LICENSE*: ARCH/ENGINEER: ADDRESS: CITY: ST: ZIP: PARCEL*: CENSUS TR: INSPECTOR: 285423208 0999 PLAT*: LOT 84130CK FINAL 028542 3-4 018 PLAT NAME: KOKOMO TOWNSITE ZONE*: ZONE FSB S- 5-2 RSB MOD SFR 000 000 000 000 USE OF PERMIT: FEES: PAID BY: CA CK CG NC GAS WATER HEATER $20 . 00 X JOB ADDRESS: COUNTER APP: PLANS EXAM: DATE: 11212 E 22ND AV 05/30/84 MECHANICAL PERMIT MECHANICAL TOTAL FEES $16 . 00 Processing fee Y Misc fee desc Amount $0 . 00 feet $10 . 00 Apple Dry 0 Range 0 Gaslog 0 Gas w/h 01 Solid Fuel 0 fee: $6 . 00 00 C-) 0 0 - 31-8 4 4 5 4,8'5 * 2000 5