1986, 10-13 Permit: 00013581 Water HeaterSIGNATURE OF APPLICATION
OWNER 0RAGP�N DATE
0BADDRES3
MECHANICAL PERMIT
FEES: $21 50
PAID BY:
COUNTER All�
PARCEL-
CENSUS TR:
INS ECTOR:
PLAT-
LOT & BLOCK
FINAL
PLAT N-AE:
USE OF PERMIT:
JOB ADDRESS:
MECHANICAL PERMIT
M E CH A NI AL T OTA I F EE
APPL Dry 0 Range 0 Gas Log 0 Gas W/H 01 Solid Foel 0 Fee
FUEL SOURCE� Electric N Gas N Oil N Coal N Wood N Solar N
Processing Fee
O�l'�, |-' , �
, � "
OFFICE COPY
$21.50
6.50
15.00
* 7 l�Dy
�^~"w
FEES: $21 50
PAID BY:
COUNTER All�
M E CH A NI AL T OTA I F EE
APPL Dry 0 Range 0 Gas Log 0 Gas W/H 01 Solid Foel 0 Fee
FUEL SOURCE� Electric N Gas N Oil N Coal N Wood N Solar N
Processing Fee
O�l'�, |-' , �
, � "
OFFICE COPY
$21.50
6.50
15.00
* 7 l�Dy
�^~"w
SIGNATURE OF
OWNER OR AGENT
inR AnnR + -SS
APPLICATION
DATE
PROJEC 1 „
ME,GI-Ir °aNIGAL TCiTAL. FE E
br U 0 Range 0 Girls Log 0 i::<:, W, I.I 01 1 :,o J id F"ue1 0 F'ao t:> .5
[1ec,tri.c: N Gas N O:iJ. N Coal N Wood N I'.oIar
Pr ocessi.nq M=ae 15 0 U
INSPECTOR'S COPY ___
OWNER:
ADDRESS:
CITY:
ST: ZIP:
AP PLIC AN To
CONTRACTOR:
AD DR E 5S:
CITY:
ST: ZIP:
PH:
LICENSE*: _
ARCH /ENGINEER:
ADDRESS:
CITY:
ST: ZIP:
PARCEL =�
CENSUS TR:
INSPECTOR:
PLAT:
LOT & BLOCK
! ((
0 0 2
FINAL
PLAT NAME
ZONE -. ZONE
FSB
IS-1
S-2
RSB
MOD
USE OF PERMIT:
JOB ADDRESS:
A 4, %
APPLICATION
DATE
PROJEC 1 „
ME,GI-Ir °aNIGAL TCiTAL. FE E
br U 0 Range 0 Girls Log 0 i::<:, W, I.I 01 1 :,o J id F"ue1 0 F'ao t:> .5
[1ec,tri.c: N Gas N O:iJ. N Coal N Wood N I'.oIar
Pr ocessi.nq M=ae 15 0 U
INSPECTOR'S COPY ___