1986, 11-07 Permit: 00014050 Mechanical FixturesSIGNATURE n-
OVVNERORAGENT
mnunnRFnn
MECHANICAL PERMIT
APPLICATION
MECHANICAL
T8TAL FEE
$33.50
APPi Dr 0
Range 0 Gas Log 0 Cas W/H
01 Solid Foel 0
Fee
6.58
^
�AS P P SY
EM� uan�ity 02
A PPI -IC ANT;
Fee
3.00
' HEAT
( U)i 108K or Less 01 Over,
1U0K 0
Fee
9.00
FUEL ~'~'--�
-'ectr�c N �as N Oil N Coal
N Wood N Solar N
PH:
LICENSE-
Processing
Fee
15.00
1111EL-w
CENSUS TR:
INSPECTOR:
PL.AT NAME:
USE OF PERMIT:
MECHANICAL PERMIT
APPLICATION
MECHANICAL
T8TAL FEE
$33.50
APPi Dr 0
Range 0 Gas Log 0 Cas W/H
01 Solid Foel 0
Fee
6.58
^
�AS P P SY
EM� uan�ity 02
Fee
3.00
' HEAT
( U)i 108K or Less 01 Over,
1U0K 0
Fee
9.00
FUEL ~'~'--�
-'ectr�c N �as N Oil N Coal
N Wood N Solar N
Processing
Fee
15.00
11~07-66 672V25 *53.506
OFFICE COPY