1985, 10-07 Permit: 00007873 InsertS|GINATUREOF
OWNER 0RAGENt
JOB ADDRESS:
ADDR Ess
CONTRA TOR:
ADDR ss:
PH:
LICENSE*:
COUNTER APf'ry
Pt. NS EXAM:
DATE:
PARCEL*:
ENSUS TR:
INS ECTOR:
PLAT*:
BLOCK
FINAL
ILOT
PLAT NAME:
USE OF PERMIT:
JOB ADDRESS:
MECHANICAL PERMIT
APPLICATION
DATE
MECHANICAL TOTAL FEE
APPL� Dry 0 Range 0 Cas Log 0 Cas W/H 0 Solid Fuel 01 Fee
FUEL Electric N Cas N Oil N Coal N Wood Y Solar, N
DISTRIBUTION; Forced Air N Radiant Y Heat Pomp N
Processing Fee
10 _ 7 _^-~�55.66
-
$20.00
10.00
10.00
* 20pquz
COUNTER APf'ry
Pt. NS EXAM:
DATE:
MECHANICAL TOTAL FEE
APPL� Dry 0 Range 0 Cas Log 0 Cas W/H 0 Solid Fuel 01 Fee
FUEL Electric N Cas N Oil N Coal N Wood Y Solar, N
DISTRIBUTION; Forced Air N Radiant Y Heat Pomp N
Processing Fee
10 _ 7 _^-~�55.66
-
$20.00
10.00
10.00
* 20pquz