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Saskpower Gas Permit Online Template

Permit Date: 9/18/2020 Customer Name: Yarra


Street Address or Lot/Block: Yarra Belle Plaine
Meter #: Address Type:
City/Town: RM#:
Land Location: LSD: QTR: SEC:
TWP: West of:
Reserve Name: House:

Installation Type: Residential (circle one) Fuel TypePropane


Vent Type (if Applicable): Supplier: Superior Propane

Job Type* Equipment* QTY Manufacturer Input BTU Fee


New Propane cylinder 1 S/N - 2174Z130 $35.00
New Furnace 1 Intertherm 77,000 $160.00

Total $195.00
Note: Use separate lines for each piece of equipment (tank set/furnace/h2o heater etc)

Work Descriptio (how, use, tank sn/size, sk # permit is for etc)

1 x 420lb cylinder connected to a construction trn trailer furnace

Employee Name:Mark Behrman Branch: Regina


Swift Current
(circle one)

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