HomeMy WebLinkAbout1985, 10-16 Permit: 00008098 Fireplace InsertSIGNATURE OF APPLICATION
OWNER OR AGENT DATE
JOB ADDRESS:
.120 00
A DRESS:
PH:
LICENSE*:
FEES:
PAID BY:
CA
CK
CG
IC
COUNTER APP:
PLANS EXAM:
DATE:
PLA NAME:
USE OF PERMIT:
JOB ADDRESS:
MECHANICAL PERMIT
MECHANICAL TOTAL FEE
APPL� Dry 0 Range 0 Cas Log 8 Cas W/H 0 Solid Foel 01 Fee
FUEL SOURCE� Electric N Cas N Oil N Coal N Wood Y Sular N
Processing Fee
-1
O� ~~�
" ^"-O. 581325
$20.00
10.8�
10.00
*7h~�, �
�u�^ �
.120 00
FEES:
PAID BY:
CA
CK
CG
IC
COUNTER APP:
PLANS EXAM:
DATE:
MECHANICAL TOTAL FEE
APPL� Dry 0 Range 0 Cas Log 8 Cas W/H 0 Solid Foel 01 Fee
FUEL SOURCE� Electric N Cas N Oil N Coal N Wood Y Sular N
Processing Fee
-1
O� ~~�
" ^"-O. 581325
$20.00
10.8�
10.00
*7h~�, �
�u�^ �