1986, 12-09 Permit: 00014452 FurnaceSIGNATURE OF
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COUNTER APP:
PLANS EXAM:
DATE:
MECHANICAL TOTAL FEE
HEAT SYSTEM (BTU): 10OK 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 Pump N
Processing Fee
$24.00
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