1985, 11-14 Permit: 00008706 Furnace, PipingSIGNATURE OF
OWNER OR AGENT
JOB ADDRESS:
MECHANICAL PERMIT
MECHANICAL
TOTAL FEE
$18.80
CAS PIPlNTEM
QJ. 0l
Fee
2.00
HEAT SYSTEM (BTU
0 0 K or Less 01 Over 100K 0
Fee
6.00
A DRESS:
N Cas Y Oil N Cual N Wood
N Solar N
CITY ST:
zip:
Air Y RadianN H t Pomp N
Prucessing Fee
�8.QO
ZONE*:
IFS8
-2
JRSB
IMOD
PAID BY:
+�0pq�
�° u
USE OF PSRMIT:
COUNTER APPY'�
PLANS 'X^M:
APPLICATION
DATE
MECHANICAL PERMIT
MECHANICAL
TOTAL FEE
$18.80
CAS PIPlNTEM
QJ. 0l
Fee
2.00
HEAT SYSTEM (BTU
0 0 K or Less 01 Over 100K 0
Fee
6.00
FUEL SOURCE� ElecYric
N Cas Y Oil N Cual N Wood
N Solar N
DISTRIBUTIONForced
Air Y RadianN H t Pomp N
Prucessing Fee
�8.QO
FEES:
PAID BY:
+�0pq�
�° u
COUNTER APPY'�
PLANS 'X^M:
DATE:
MECHANICAL PERMIT
MECHANICAL
TOTAL FEE
$18.80
CAS PIPlNTEM
QJ. 0l
Fee
2.00
HEAT SYSTEM (BTU
0 0 K or Less 01 Over 100K 0
Fee
6.00
FUEL SOURCE� ElecYric
N Cas Y Oil N Cual N Wood
N Solar N
DISTRIBUTIONForced
Air Y RadianN H t Pomp N
Prucessing Fee
�8.QO
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+�0pq�
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