1986, 08-14 Permit: 00012642 WoodstoveSIG-ATUrcEOF APPLICATION
OWNER ORAGENT DATE
JOBADDRESS
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MECHANICAL PERMIT
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PAID BY:
COUNTER APP:
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PLANS EXAM:
'MECHANICAL TOTAL FEE
APPL: Dry 0 Range 0 Cas Log 0 CasW/H 0 Solid Foe] 01 Fee
FUEL SOURCE: Electric N Gas N Oil N Coal N Wood Y Solar N
DISTRIBUTION: Forced Air N Radiant Y Heat Pomp N
Processing Fee
$25.00
10,00
15.00
DO -l& -R6 486.52 *2500J
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