1986, 05-30 Permit 00011305 Woodstove, ChimneySIGNATURE OFQ APPLICATION l� r_30
OWNER OR AGENT L of
� t tYZ DATE
JOB ADDRESS
18417 E BROADWAY
AV
OWNCR:
BECK, WAYNE E
T§;WY`7 E BROADWAY
AV
TOtENACRES STIWA
2IR`99016
L`LRN; WAYNE E
OCNTRgCTOR:
BECK, WAYNE E
goon...:
184'17 E BROADWAY
AV
CITY: ST:
GREENACRES WA
:IR:
99016
509-928-7418
LIC.NSL �:
I,RCX/.NOINC. R:
ORLSE:
CITY: ET:
Slf:
4RCLL.:
!855'13504
CCNSVS TR:
INERCCTOR:
ILMT.:
06254500
LOT Et ELOCX
001
016
f,NgL
RLAT NM.:
VALLEY VIEW ADD
Z.N..:
CZ R I
R••
i-,
12
RE.
MCO G
WOODSTOVF_ h MASONRY
CFIIMNI Y
VEL Of fL RMIT.
JO. qOO RCE.:
184'1'7 E BROADWAY
AV
MECHANICAL PERMIT
MECHANICAL TOTAL_ FEE
ADPL, Dry 0 Range O Gas Locci� 0 Gas W/H 0 Solid Fuel 01 Fee
FUEL SOURCE; Electric N Gas N Oi.l N Coal. N Wood Y Solar N
DISTRIBUTION: Forced Air N Radiant Y Heat Pump N
Processing Fee
05-:301 6 275.225
OFFICE COPY
$23.00
10.00
15,00
*25.00 �jI,