1986, 04-04 Permit: 00010330 Mechanical FixturesS|GNATUREOF
APPLICATION
OWNER OR AGENT DATE
JOB ADDRESS
8703 E MANSFIELD AV
="=ON/- JESSE J
UT(1T AV
�7' iE
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�ON S/ SHEET METAL
""`"���snN'S SHEET METAL
rVU� E TRENT AV
r' K NE "`'WA `~'
�99216
*309-928-0960 NWITAS M158NZ
.=./=~.~=..
ADDRESS:
"`' ZIP:
PM -4'40205
^M-4'40205
CENSUS TR:
0999
'°°"""`°"'
\OU7S28000
LOT ",B,L2p" 0Q1
FINAL
PLAT�^°".
SO`LBERG ADD
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sob 0
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GAS FURNACE HEAT PUMP(REPLACEMENT
"y"O,PERMIT:
MECHANICAL PERMIT
PROJECT#
=U0=1404
DATE:
/04/66
;n3�
MECHANICAL *3J /)(�
FEES$33.00
FAME',=
=
="
"°"~-~.._.
PLANS EXAM'
DATE:
MECHANICAL TOTAL FEE
FRIDGE: 1 - 100K 01 100 - 500K 0 500 - 1000K 0 Fee
1000 - 1750K 0 Over 1750K 0 Pres Vessel 0
AT SYSTEM (BTU)/ 100K or Less 01 Over 100K O Fee
FUEL SOURCE: Electric N Cas Y Oil N Coal N Wood N Solar N
DISTRIBUTION; Forced Air Y Radiant N Heat Pomp Y
Processing Fee
$33,00
9.00
9.00
15,00
C&-O�-8� 15 0.5 ���OO=
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OFFICE COPY
I NSP-I D
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DATE
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