1986, 10-23 Permit: 00013672 Mechanical FixturesSIGNATURE OF
OWNER OR AGENT
JOB ADDRESS
MLCHAN1.CAL P�RM1I'
APPLICATION
DATE
-""= /'^.D",. /". /= /"° /""
"""°`""°,... /,`^~"",°= /.=E.
MECHANICAL TOTAL FEE
APPL: Dry 0 Ran e 0 Cas Log 0 Cas W/H 01 Solid Foe] 0 Fee
GAS PIP1NC SYSTEM, Quantity 02 Fee
T S Y S T E M (BTU): 100K or Less 01 Over 100K 0 F,ee
FUEL SOURCE: Electric N Cas Y Oil N Coal N Wood N Solar N
DISTRIBUTION, Forced Air Y Radiant N Heat Pomp N
Processing Fee
°
-
^'
0
l 7- ^ �-8 '�
�~ ��
OFFICE COPY
$33.50
6.50
3.08
9.00
15.00
�0066*�80O�
....z ^~..o
OWN
YJ DMASON, DON
CITY; ST:
PARCEL- ENSUS TR:
JINSPECTOR:
PLAT NAME:
USE OF PERMIT:
JOB ADDRESS:
MLCHAN1.CAL P�RM1I'
APPLICATION
DATE
-""= /'^.D",. /". /= /"° /""
"""°`""°,... /,`^~"",°= /.=E.
MECHANICAL TOTAL FEE
APPL: Dry 0 Ran e 0 Cas Log 0 Cas W/H 01 Solid Foe] 0 Fee
GAS PIP1NC SYSTEM, Quantity 02 Fee
T S Y S T E M (BTU): 100K or Less 01 Over 100K 0 F,ee
FUEL SOURCE: Electric N Cas Y Oil N Coal N Wood N Solar N
DISTRIBUTION, Forced Air Y Radiant N Heat Pomp N
Processing Fee
°
-
^'
0
l 7- ^ �-8 '�
�~ ��
OFFICE COPY
$33.50
6.50
3.08
9.00
15.00
�0066*�80O�
....z ^~..o