1986, 11-03 Permit: 00013962 Wood StoveSIGNATURE OF
OWNER OR AGENT DATE
APPLICATION
JOB ADDRESS
PROJECT#
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$25,00
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PLANS EXAM:
MECHANICAL PERMIT
',��nH�ICAL TOTAL FEE
APPL: Dry 0 Range 0 Gas Log 0 Cas W/H 0 Solid Fuel 01 Fee
FUEL SOURCE: Electric N Gas N Oil N Coa] N Wood Y Solar N
DISTRIBUTION: Forced Air N Radiant Y Heat Pomp N
Processing Fee
*25.00
10.00
15.00
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PROJECT#
==
$25,00
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PLANS EXAM:
MECHANICAL PERMIT
',��nH�ICAL TOTAL FEE
APPL: Dry 0 Range 0 Gas Log 0 Cas W/H 0 Solid Fuel 01 Fee
FUEL SOURCE: Electric N Gas N Oil N Coa] N Wood Y Solar N
DISTRIBUTION: Forced Air N Radiant Y Heat Pomp N
Processing Fee
*25.00
10.00
15.00
11—U3-8o
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