1986, 11-04 Permit: 00013993 BoilerUGNATURE0F APPLICATION
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OB ADDRESS
PROJECT#
0001 -
FEES:
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PLANS EXAM:
DA TE:
MECHANICAL PERMIT
lECHANICAL TOTAL FEE
CAS PIPING SYSTEM: Quantity 01 Fee
HEAT SYSTEM (BTU): 100K or Less 00 Over 100K 01 Fee
FUEL SOURCE: Electric N Gas Y Oil N Coal N Wood N Solar N
Processing Fee
$29.00
3.00
11.00
15.00
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PROJECT#
0001 -
FEES:
=~~`'
° N
C""",""^=
PLANS EXAM:
DA TE:
MECHANICAL PERMIT
lECHANICAL TOTAL FEE
CAS PIPING SYSTEM: Quantity 01 Fee
HEAT SYSTEM (BTU): 100K or Less 00 Over 100K 01 Fee
FUEL SOURCE: Electric N Gas Y Oil N Coal N Wood N Solar N
Processing Fee
$29.00
3.00
11.00
15.00
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OFFICE COPY
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