1986, 10-29 Permit 00013883 Gas Range PipingSIGNATURE OF APPLICATION
OWNER OR AGENT DATE
JOB ADDRESS
ADDRESS:
ST:
ADDRESS:
ZIP:
PN:
LiCE.s..:
ARCH /ENGINEER:
ADDRESS;
ST: ZIP:
PARCEL.:
INS ECTOR:
LOT & BLOCK
FINAL
PLAT NAME:
ZONE
PSD
RSO
MOD
USE OF PERMIT:
Joe Apopess:
PROJECT#
SCQ..:
PAID DV:
CA
CK
Co
NC
CoUNTER APP:
PLANS EXAM:
DATE:
9
OFFICE COPY
29 9. 6 5