1986, 11-12 Permit: 00014112 Wood StoveSIGNATURE OF
OVVNERORAGEN
JUBADDRESS
MECHANICAL PERMIT
APPLICATION
DATE
1411 "1
GARY
WA
PH:
LICENSE*:
PARCEL-
CENSUS TI:
I'S ECTOR;
PLATO:
00031500
LOT & BLOCK
FINAL
PLAT NA.E:
jFSB
USE OF PERMIT:
JOB ADDRESS:
MECHANICAL PERMIT
APPLICATION
DATE
MECHANI CAL TOTAL FEE
APPL: Dr 0 Range 0 Gas Log 0 Cas W/H 0 Solid Fnel 01 Fee
FUEL SOU�CEEc
letric N Gas N Oil N Coal N Wood Y Solar W
DISTIRIBUTION: Forced Air N Radiant Y Heat Pomp N
Processing Fee
ll-l��^~�
�� ��
OFFICE COPY
$25.0O
t0.00
15.00
. �
*2 5OO'+
1411 "1
21
MECHANI CAL TOTAL FEE
APPL: Dr 0 Range 0 Gas Log 0 Cas W/H 0 Solid Fnel 01 Fee
FUEL SOU�CEEc
letric N Gas N Oil N Coal N Wood Y Solar W
DISTIRIBUTION: Forced Air N Radiant Y Heat Pomp N
Processing Fee
ll-l��^~�
�� ��
OFFICE COPY
$25.0O
t0.00
15.00
. �
*2 5OO'+