1986, 12-29 Permit: 00014613 FireplaceSIGNATURE OF APPLICATION
OWNER OR AGENT DATE
JOB ADDRESS
MECHANICAL PERMIT
PROJECT#
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$25.00
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COUNTER APP:
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MECHANICAL TOTAL FEE
APPL1 Dry 0 Range 0 Cas Log 0 Cas W/H 0 Solid Fuel 01 Fee
FUEL SOURCE: 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
15,00
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MECHANICAL PERMIT
PROJECT#
"=.=
'^'~ BY:
$25.00
°
COUNTER APP:
"="^E^""'
MECHANICAL TOTAL FEE
APPL1 Dry 0 Range 0 Cas Log 0 Cas W/H 0 Solid Fuel 01 Fee
FUEL SOURCE: 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
15,00
12-29-86 �0�O� �7�O0�
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