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2013, 10-09 Permit App: BLD-2013-2071 Gas Insertlb/ F7 t5/ LF71.3 LCJ: GG JUJJLO7UGJ Project # ' 2� i �� Permit Ccntcr RECEIVEr �� 1 � '{I{�jk� a 11703 L Sprague Ave, Suite D-3 �?� Mi an h A "'� Spolcanc Valley, WA 99206 } PEI TNUMBER: ../ Valley- (509)688-0036 FAX: (509)68M037 Community Development cY.M n ? r "..- , , PERMIT FEE; Mechanical Permit Application ❑ Commercial ,Residential szTr ADDRESS: �2 Z3 Ce�� 6'r� OMr CASH ❑CHECK VISA 0 MC eArlKr d: VIN: CARD it SIGNATU /4 O f J P:Tommunity Developmant\02 Admiaiistration\03 Forms - O�eial VersionsTcrmli Centar\Mllha cal Permit Aprlicnlion U4 03 09 dg.dnc