1985, 01-18 Permit 00003967 Woodstove InsertSIGNATUE OF
APPLICATION
OWNER OR AGENT DATE
JOD ADDRESS:
7904 E INr)TANA
AV
OWNER:
FY, I TNDA
ADDRESS:
7904 E INDIANA
AV
CVI, : 5T:
SPOKANE. WA
ZIP:
99212-0000
APPLICANT:
VALLEY FIREPLACE
CONTRACTOR:
VALLEY F:I:REPLACE
ADDRESS:
16610 E SPRAGUE
AV
CITY: 57:
VERADALE WA
ZIP:
99037-0000
PM:
509-922-2780
LICENSE*:
VALLEFx177C0
ARCM/ENGINEER:
ADDRESS:
CITY: 5T:
ZIP:
PARCEL*:
07 430901
CENSUS TR:
0999
INSPECTOR:
PLAT*:
0D2544
LOT & CLOCK
009
007
FINAL
PLAT NAME:
SANTA ROSA PART
ZONE*:
ZONE
AGSUB
PSD
000
S - I
00C
S - 2 R5D
OOC 000
MOD
U5C OP PERMIT:
WOODSTOVE INSERT
JOD ADDRESS:
7904 E INDIANA
AV
nno47n7
DATE:
n1/1R/R9
Mprhanirai F'ara
PROJM:
nnnn7Q, 7
PEES:
COUNTER APPf
$20.0
/J,1
PAID DY:
PLANS EXAM:
CA
CK
X
CG
NC
DATE:
01/1F!R
MECHANICAL
PERMIT
MECHANICAL TOTAL FEES $20.00
Processing fee Y Misc fee desc AMt $0.00 fee: $10.00
App7.: Dry 0 Range 0 Gaslog 0 Gas win 0 Solid Fuel 01 fee: $10.00
OFFICE COPY
01-18-84 2.4.4z *20.006