1986, 08-21 Permit: 00012760 Wood Stove j(j
S|GNATURE0F APPLICATION
OWNER OR AGENT DATE
JOB ADDRESS PROJECT#
12823 24�� /
°"�
UUl� ,_ 6/21/86
158 8/21/86 00012760
E '
RODMAN, M MECHANICAL $25 . 0"
1
17"=" E 24TH
�KANE "`'
��� WA '992n6
/ FIREPLACE
0�771:CEYy' FIREPLACE
r�E°"' BOX 553 AV
"T" ADALE s, A 9037
"° 9-922-2780 `""=°= *177CE;
ARCH/ENGINEER:
ADDRESS,
Sr: `'"'
~="=° 3018
,` `�. `", I,* "","~ FINAL
0A464A00 U11 004
M`T"= EST ACRES 2ND ADD
ZONES: ��r� FSB . . "'" RSB MOD
gel
WOODSTOVE
USE OF PERMIT:
$25 . 00^=^=""""�
12823 E 24TH A�
MECHANICAL PERMIT
HlECHANICAL TOTAL FEE $25 . 00
APPL. t Dry , ..0 Range 0 Cas Log 0 Gas W/H 0 Solid Fuel 01 Fee 10 . 00
U S U CE � Electric N Gas N OiI N Coal N Wood Y Solar N
FUEL - '
DISTRIBUTION : Forced Air N Radiant Y Heat Pomp N
Processing Fee 15 . 00
DO - � l~ J� 8 � l � � * � � O0 �
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OFFICE COPY