1986, 07-01 Permit: 00011925 Heat PumpPROJECT
SEQ. S:
DATE:
SIGNATURE OF
APPLICATION
OWNER OR AGENT DATE
JOB ADDRESS
FEES:
$24.00
PAID BY:
G N
COUNTER APP: 1
PLANS EXAM:
DATE:
MECHANICAL PERMIT
i...:C.,HANIC:AL_ TOTAL. FEE
c ".TDGE: 1 - 100K 01 100 - 500K 0 500 -- 1000K 0 Floe
1000 -- 1750K 0 Over 1750{< 0 Pres Vessel 0
SOURCE: Electric N Gas N Oil N Coal N Wood N Solar N
t'.I.i.>TRITt1Jt'IuN: Forced Air N Radiant N Hear Pomp Y
Processing Fee
$24,1$u
9,00
15,00
O
1k1r -tr%rr%I-irrs
OWNER:
ADDRESS:
CITY: ST: ZIP:
APPLICANT:
CONTRACTOR:
ADDRESS:
AV
CITY: ST: ZIP:
PH: LICENSE.:
,.(M1.'K'G:.1 Uti i.
ARCH/ENGINEER:
ADDRESS:
CITY: ST: ZIP:
PARCELS:
CENSUS TR:
INSPECTOR:
PLATS:
LOT & BLOCK
FINAL
PLAT NAME:
ZONES:
ZONE
FSB
S - 1
5-2
RSB
MOD
USE OF PERMIT:
JOB ADDRESS: R
R I.,
FEES:
$24.00
PAID BY:
G N
COUNTER APP: 1
PLANS EXAM:
DATE:
MECHANICAL PERMIT
i...:C.,HANIC:AL_ TOTAL. FEE
c ".TDGE: 1 - 100K 01 100 - 500K 0 500 -- 1000K 0 Floe
1000 -- 1750K 0 Over 1750{< 0 Pres Vessel 0
SOURCE: Electric N Gas N Oil N Coal N Wood N Solar N
t'.I.i.>TRITt1Jt'IuN: Forced Air N Radiant N Hear Pomp Y
Processing Fee
$24,1$u
9,00
15,00
O
1k1r -tr%rr%I-irrs
c
INSP-ID)
DATE
C7
-J
m
72t-56, 7/23
-J
a
9 N 57 #
U
rn
PROJECT FINAL