1986, 11-19 Permit 00014257 FurnaceSIGNATURE OF
OWNER OR AGENT
APPLICATION
DATE
JOB ADDRESS
.1,
PRIORESS:
ST:
APPLICANT:
ADDRESS:
PEI
LICENSE*:
ARCH/ENGINEER:
ADDRESS:
CITV:
ST:
INSPECTOR:
LOT & BLOCK
FINAL
RSIZI
MOD
LISC OF PERNNT:
PROJECT#
DAT:
FCCS:
PAID DY:
A
CK
CO
NC
PLANS EXAM:
- _ 6 4 7. 1 g L
OFFICE COPY