1986, 09-16 Permit: 00013152 FurnaceSIGNATURE OF
OWNERORAGENT DATE
APPLICATION
JOB ADDRESS
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PLANS EXAM:
DATE
MECHANICAL PERMIT
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'M AN TOTAL FEE $29.0C
GAS PIPING SYSTEM: Quantity 01 Fee 3.00
HEAT SYSTEM (BTU): 100K or Less 0 Over 100K 01 Fee 11.00
FUEL SOURCE; Electric N Gas Y Oil N Coal N Wood N Solar N
DISTRIBUTION: Forced Air Y Radiant N Heat Pomp N
Processing Fee 15.00
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