1986, 09-09 Permit: 00013013 RemodelSIGNATURE OF APPLICATgN
DATE kl-
mnAnnRESS
` ' �� PROJECT#
MULTIPLF PERMIT
Building Code Fee
TOTAL
FEE
$1.5O
BUILDINC
T8TAL
FEE
$20.00
Permi
ee
20.00
PRIMARY STRUCTURE|
CONTRAC OR:
SECONDARY STRUCTU RES�
M E. c H A NI AL
T OTA L.
F EE
$10.U0
APPL� Dry 0 Range 0 Cas Log 0 Cas W/H 0 Solid
o
Fel
01 Fe
e
PH:
FUEL SOOKCE� Electric N Gas N Oil N Coal N Wood N
LICENSE*:
N
PARCEL-
CENSLIS TR:
INS ECTOR:
PLAT-
LOT BLOCK
IINAL
PLAT NAM E:
JSE OF PERMIT:
` ' �� PROJECT#
MULTIPLF PERMIT
Building Code Fee
TOTAL
FEE
$1.5O
BUILDINC
T8TAL
FEE
$20.00
Permi
ee
20.00
PRIMARY STRUCTURE|
SECONDARY STRUCTU RES�
M E. c H A NI AL
T OTA L.
F EE
$10.U0
APPL� Dry 0 Range 0 Cas Log 0 Cas W/H 0 Solid
o
Fel
01 Fe
e
10.00
FUEL SOOKCE� Electric N Gas N Oil N Coal N Wood N
Solar
N
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