1986, 05-20 Permit 00011114 InspectS|GNATUREOF APPL|CAT|ON
OWNER OR AGENT DATE
JOB ADDRESS PROJECT#
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PLANS EXAM:
MECHANICAL TOTAL FEE
CAS PIPING SYSTEM: Quantity 01 Fee
HEAT SYSTEM (BTU); 100K or Less 01 Over 100K 0 Fec
FUEL SOURCE: ElecTric N Gas Y Oil N Coal N Wood N Solar N
DISTRIBUTION: Forced Air Y Radiant N Heat Pomp N
Processing Fee
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DATE
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PiiOJECT FINAL