1986, 10-30 Permit: 00013904 WoodstoveSIGNATURE OF APPLICATION
OWNER OR AGENT DATE
JOB ADDRESS
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PROJECT#
DATE:
MECHANICAL
PAID SY:
$25.08
G NC
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PLANS EXAM:
MECHANICAL PERMIT
MECHANICAL TOTAL FEE
APPLi Dry 0 Range 0 Cas Log 0 Cas W/H 0 Solid Fuel 01 Fee
FUEL S[]RCE: Electric N Cas N Oil N Coal N Wood Y Solar N
DISTRIBUTION: Forced Air N Radiant Y Heat Pomp N
Processing Fee
$25.00
10.00
15.08
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