1985, 12-12 Permit: 00009107 Wood Stove m - �
, •
SIGNATURE OF, APPLICATION
OWNER OR AGENT DATE
JOB ADDRESS: "=. °. DATE: ~."'*.
11723 E 33RD ^,u 0818048 12/12/R5 81/809107
OWNER
PORTER / PAT MF[HANTrm $20 . 00
~""==
717 S PINES RD
CITY: ST: ZIP:
SPOKANE WA 99206
AppLm.,
PORTER , PAT
CONTRACTOR:
PORTER / PAT
"=°="'
717 S PINES RD
"``' "`'
SPOKANE • WA 99206
^"' """°"=°'
509-928-5750
ARCH/ENGINEER:
^""~"=
"'``' = `~'
PARCEL*. CENSUS TR: INSPECTOR:
335411702 0999
."T~. LOT aBLOCK FINAL
011681300 002 001
PLAT NAME:
MIDILOME 2ND ADD
.~~E*` ZONE FSB " . "-" RSB MOD
SFR 030 019 020 050 006
WOOD STOVE
USE OF PERMIT: FEES: PAID EY: CA = CG NC
$20 . 08
"=ADDRESS: COUNTER APP: tet PLANS EXAM: DATE:
11723 E 33RD AV ~JVN ~
MECHANICAL PERMIT
MECHANICAL TOTAL FEE $20 . 00
APPL : Dry 0 Range 8 Cas Log 0 Cas W/H 0 Solid Fuel 01 Fee 10 . 00
FUEL SOURCE : Electric N Gas N Oil N Coal N Wood Y Solar N
DISTRIBUTION : Forced Air N Radiant Y Heat Pomp N
Processing Fee 10 . 00