1986, 10-07 Permit: 00013488 Wood StoveSIGNATURL OF
OWNER OR AGENT DATE
APPLICATION
JOB ADDRESS 4
MECHANICAL PERMIT
PROJEC-i
SEP. *:
DATE:
FEES:
PAID BY:
6
COUNTER APP:
PLANS EXAM:
DATE:
ME_CFHANICAL. T'OT'AL.. FEE
APPL: Dry 0 Range 0 Gas Log 0 Cass W/I-I0 Solid Fuel 01 Fee
FUEL SOURCE: Electric N Gas N OilN CoolN Woocl Y Solar P4
':'CSlRJBU'I':WN: Forced Air N Radiant N Meat Pump Y
Processing Fee
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OWNER:
ADDRESS:
CITY: 5T: ZIP: L,
APPLICANT:
DAVID A
CONTRACTOR:
ADDRESS: Al‘
CITY: 5T: ZIP:
PH: LICENSE*:
ARCH/ENGINEER:
ADDRESS:
CITY: 5T: ZIP:
PARCEL,:
CENSUS TR:
INSPECTOR:
PLAT*:
LOT 8c BLOCK
FINAL
PLAT NAME:
ZONE*:
ZONE
FSB
5-1
5-2
550
MOD
USE OF PERMIT:
JOB ADDRESS:
A':;
MECHANICAL PERMIT
PROJEC-i
SEP. *:
DATE:
FEES:
PAID BY:
6
COUNTER APP:
PLANS EXAM:
DATE:
ME_CFHANICAL. T'OT'AL.. FEE
APPL: Dry 0 Range 0 Gas Log 0 Cass W/I-I0 Solid Fuel 01 Fee
FUEL SOURCE: Electric N Gas N OilN CoolN Woocl Y Solar P4
':'CSlRJBU'I':WN: Forced Air N Radiant N Meat Pump Y
Processing Fee
O.'
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DATE
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