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1984, 05-30 Permit: 00000413 AC
SIGNATURE OF APPLICATION OWNER OR AGENT DATE JOB ADDRESS: DATE: PROJC 12119 E 22ND AV 0000380 05/30/84 00000413 OWNER: MORETZ, RALPH Mechanical Fee $16 . 00 ADDRESS: 12119 E 22ND AV DIFF . FEES & AMT DUE $4 . 00 CITY: ST: SPOKANE WA 99206-0000 APPLICANT: A & M QUALITY HEATING CONTRACTOR: A & M QUALITY HEATING ADDRESS: 12710 E INDIANA AV CITY: ST: ZIP: SPOKANE WA 99216-0000 PH: LICENSE*: 509-928-2100 AMQUAHE193N1 ARCH IF NO I EER ADDRESS: CITY: ST: ZIP: pARCELA: CENSUS TR: INSPECTOR: 285410723 0999 FLAT.: LOT& BLOCK FINAL 028541 023 007 FLAT NAME: HILLCREST PARK 1ST ZONE*: ZONE FSB 5-1 S-2 RSB MOD SFR 000 000 000 000 USE OF PERMIT: FEES: PAID BY CA CR CO NC 3 1/2 TON AC $20 . 00 X JOB ADDRESS: COUNTER APP: PLANS EXAM: DATE: 12119 E 22ND AV 05/30/8,e MECHANICAL PERMIT MECHANICAL TOTAL FEES $16 . 00 Processing fee Y Misc fee desc Amount $0, 00 fee : $10 , 00 Refrig . system/BTU: 1 - 100K 01 100 - 500K 0 500 - 1 ,000K 0 1 ,000 - 1 ,750K 0 > 1 ,750K 0 Pressure vessel 0 fee : $6, 00 0 LU 0 ' 4 01 4 5 4 9