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1986, 12-09 Permit: 00014452 FurnaceSIGNATURE OF OWNER OR AGENT JOB ADDRESS OWNER: ^""~"""' = `'"' ^""""°~`' CONTRACTOR: ^~"^^°"' ~"' ""~="= ARCH/ENGINEER: ^""^~"= "'``' "`' "^^""`~' 4;� '~"""""=' ~^`~' LOT aBLOCK =^`="= ORCHAD:i «01:(-8.1 `"""*' ZONE =" "'. ""~ MOD F|)RNA[F(RFP|�.i USE °~PERMIT: ^"^^"~"="' J�06 n vARD MECHANICAL PERMIT APPLICATION �~x �� ���� DATE v^^� -~ �� �� PROJECT# "=°' 0 $24.O` ° 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 9,00 15.00 <7176 ^oxonY INSP—ID /it/ d� DATE 07,/f l �7,,1( U w w w J m � w U O J w Z C7 V J Z PROJECT F