1986, 10-06 Permit: 00013437 Mechanical FixturesSIGNATURE OF APPLICATION
OWNER OR AGENT DATE
JOB ADDRESS
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PLANS EXAM:
MECHANICAL TOTAL FEE $33.50
APPL: Dry 0 Range 0 Cas Log 0 Cas W/H 01 Solid Foe] 0 Fee 6.50
GAS PIPING SYSTEM: Quantity 02 Fee 3.00
HEAT SYSTEM (BTU): 100K or Less 01 Over 100K 0 Fee 9.00
FUEL SOURCE: Electric N Cas Y Oil N Coal N Wood N Solar N
DISTRIBUTION: Forced Air Y Radiant N Heat Pomp N
Processing Fee 15.08
18-86- 58585 ^3 3.5O �