1986, 11-20 Permit: 00014278 FuranceSIGNATURE OF APPLICATION
OWNER OR AGENT DATE
JOB ADDRESS
5 E MALL8N A's.:"°°~^'
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MECHANICAL PERMIT
PROJECT#
0015668
MECHANICAL
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COUNTER APP
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DATE:
MECHANICAL TOTAL FEE
HEAT SYSTEM (BTU): 100K or Less 01 Over 100K 0 Fee
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
ll -7O -A6 689.7g *2 48O!
OFFICE COPY
INSP—ID
DATE
RCD
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