1986, 10-21 Permit App: 0013845 Mechanical|GNATURE0F
/VVNERORAGENT
OB ADDRESS
MECHANICAL �ERMIT
APPLICATION
DATE
SEQ.
DATE:
41
DO R
ITY
ST:
LOT & BLOCK
LAT NAME:
ONE-
RS2
DB ADDRESS:
MECHANICAL �ERMIT
APPLICATION
DATE
SEQ.
DATE:
41
1 ECI H ANI OTAL FEE
APPLD r 0 Range 0 as Log 0 Gas W/H 0 Solid Foel 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
�
l0 -2d -o6
OFFICE COPY
10.0u
15.0�:
^ 2, 0`D.."�
. .