1986, 04-22 Permit 00010629 Furnace-
SIGNATURE OF APPLICATION
DATE
OWNER URAGENT______'
SEC.
DATE:
RD
W 9920
AP PILI C AN T:
CAG PIPING SYGTEM�
BOX 5659
01'1'(J
Fe
ARCH/EN INEER:
HEAT YST M
(B U)� l00K or
Les 01
PARCEL—
CENSUS TR:
INSPECTOR:
PLAT=:
44 4 010
LOT BLOCK
0
FINAL
PLAT NAME:
FEES:
PAID BY:
CA
CK
CG
Nc
P:
PLANS EXAM:
USE OF PERMIT:
JOB ADD ESS:
SEC.
DATE:
TOTAL FEE
$27.00
CAG PIPING SYGTEM�
Quantity
01'1'(J
Fe
3.00
HEAT YST M
(B U)� l00K or
Les 01
Over 100K 0 Fee
9.00
FUEL SOURCE.-,
Elec-tric N Cas
Y Oil
N Coal N Wood N Solar N
FEES:
PAID BY:
CA
CK
CG
Nc
P:
PLANS EXAM:
Processing Fee
MECHANICAL PERMIT
MECHANICAL
TOTAL FEE
$27.00
CAG PIPING SYGTEM�
Quantity
01'1'(J
Fe
3.00
HEAT YST M
(B U)� l00K or
Les 01
Over 100K 0 Fee
9.00
FUEL SOURCE.-,
Elec-tric N Cas
Y Oil
N Coal N Wood N Solar N
DISTRlBUTIONi
Forced Air Y
Radiant
N Heat Pomp N
Processing Fee
15.80
d
0-��� �-°~�
". "
OFFICE COPY
lV�7u *770O'
�'^�� �."�.0