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BUILDING INSPECTION DMSION PERMIT NO: <br />FOR CITY VALIDATION 3~0 L~,~,~r O~. r.m- S.,t~ c <br />Received. By; __ ~atc:~ <br /> <br />IDle: ~ HR laqpecflon Line ~73-~27 <br />L .... Offi~c: phone S~-jl~ ~am- 4:3Opm Issued by: ~ <br /> <br /> MECHANICAL PERMIT APPLIOATION I ~ ' ; '~ <br /> Please complete all Se~tion~, ~ through ~A~ ~ 9 ~99~ ~sm~L ~ c~c~ ~ ~,. ,,_ _ <br /> <br />I. LOCATION OF INSTALLATION <br /> T-' ',coo No. I I I II I r"T" r,--. <br /> <br /> PROPI~RTY O'WI'~. ' ' ' <br /> CROSS ~T/ <br /> <br />-'_C <br /> <br />PERMITS ARE NONJ'ilt. AblSFEKA~L~ Ab~ ,IL~PIRE I~ WORK )S NOT <br />~TARTED Wrl'P~'~ lSO DAYS OF ISSUANCE OR rF <br /> WORK I~ SUSPENDED FOR lS0 DAYS. <br /> <br />2A. C.ONTRACTOR INSTALLATION ONLY <br /> <br />M.chanicfi Contracto~ BEST HEATING & CONTROL, INC. <br />MallingAddre:~s P.O. Box 567 City SClO <br /> <br />PH01'-,m 5 0 3 __ 3 9 4 -- 3 4 6 1 <br />FAX 5 0 3 .., 3 g 4 __ 3 3 0 g <br /> <br />CoN'rRAcT0~ BOARD 0 6 5 g <br />KEGiSTRATION NO, ~. <br /> <br />2B. FOR OWNER INSTALLATIONS <br /> <br />3. PLAN REVIEW SECTION <br /> <br /> Marion County does not require a plan review. <br /> We will provxde-- plan review service if you complete <br /> Section 5B and snbmit two (2) sets of plans and <br /> specifications with th.is application. <br /> <br /> OAS O ~Ec"mtc 0 <br />'~E FEE ASSE$$FD ON ALL APPLICA~ONS <br /> <br />5. FEES <br /> <br />TOTAL AMOUNT DUE <br /> <br />MC 15.41 7,~7 <br /> <br />K'T-[~Z qA'c.' f;Oe. T XYJ ()f;:60 ~fl£ <br /> <br /> <br />