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1986, 10-21 Permit: 00013746 Mechanical Fixtures
SEB. *: DATE: SIGNATURE OF APPLICATION OWNER OR AGENT DATE JOB ADDRESS PROJECT# APPL: Dry 0 Rang., t! GAS PIPING SYSTEM: QL:,. :FAT SYST LM (BIM: 1 0.1 FUEL SOURCE: Electric: DIt: T RI:BUTttoi : Forced Al,' FEES: PAID BY: N COUNTER APP: PLANS EXAM: DATE: 1Id F f r/lrff C5 ^/1P1\/ 3 OWNER: ADDRESS: CITY: ST: ZIP: APPLICANT: CONTRACTOR: ADDRESS: CITY: ST: ZIP: PM: LICENSE*: ARCM/ENGINEER: ADDRESS: CITY: ST: ZIP: PARCEL*: CENSUS TR: INSPECTOR: PLAT*: LOT & BLOCK FINAL PLAT NAME; ZONE.; ZONE FSB 5-1 5-2 RSB MOD USE OF PERMIT: JOB ADDRESS: ,'wa; a. APPL: Dry 0 Rang., t! GAS PIPING SYSTEM: QL:,. :FAT SYST LM (BIM: 1 0.1 FUEL SOURCE: Electric: DIt: T RI:BUTttoi : Forced Al,' FEES: PAID BY: N COUNTER APP: PLANS EXAM: DATE: 1Id F f r/lrff C5 ^/1P1\/ 3 0 INSP-ID '. i 1 *• DATEl'''tSi� `' J ROJECT FINAL MISC SIGN RELOC DEMO j c a 1