1984, 10-30 Permit: 00003090 StoveS|GNATURE0F_ ^
OWNEROR-AGENT
mg-
DATE
OW ER:
SAMSON, El AIR R Y
Ag
I LOT 6KtQy FINAL
APPLICATION
0003257
Mechanica'.1. Fee $20,00
COUNTER AM
PLANS EXAM:
DATE:
/
MECHANICAL /P`ERMIT
MECHANICAL TOTAL FEES 0.00
Processing fee Y Misc fee desc Amt $0.00 fee$10.00
Appl; Dry 0 Range 0 Caslog 0 Cas w/h 0 Solid Fuel 01 fee: $10.0O
10-30-~4 79.65 *28006