1986, 09-05 Permit: 00012974 Wood Stove ExGNATURE0F
APPLICATION
OvvNERORAGENT L� --~~`-~-^-~~~° DATE /c/83-4,
JOB ADDRESS PROJECT#
"E° a: DATE:
12505 ' ^ AV 0014405 �/05/86 00012974
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SANDBO , ALAN $25 . 00
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12505 E 31ST AV
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SP/ ' ' ' ' 99216
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CONTRACTOR:
?ANDBO/ ALAN M
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2505 E 31ST AV
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OKANE: WA 99216
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924-2292
ARCH/ENGINEER:
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CITY' = ZIP'
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27547` ?""
PLATS: LOT a BLOCK FINAL
00Y o10 009
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WOODSTOVE
USE OF '""='`' FEES: $25 . 00 '^'" "`' CA C" CO NC
,= =""E,= COUNTER APP: PLANS EXAM: DATE:
12505 E31ST AV |
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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
OV- O5 - ' 6 8879 *2 580 �
OFFICE COPY