1987, 07-31 Permit App: 87002470 Furnace, ACMECHANICAL PERM iT-APPCICATiON`WORKSHEET
cP,ARTS OF TH ORM YOU UNDERSTAND
.
PLEASE PRINT AND COMM. ETE'ONLY4
Project" t
•er
Owner's Name Leat
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Project Addr s (Streemer) -''`•
t Name & Nub ' .,„
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Ciy5! 9"'4/x.*'
Stats ��,, fj�
/74//re'
Su vision Nama
Assessor Partet 0
11.91 /I ..
'115.91
Block •
Plat /
Applicant A7
City
State z
: �7
9 g17-4-5----
,
....
Beielnep P#lone
Contractor
1-7/9A/A/ 7-.Z///-- C ,. , ,.. , ...
Address 4?.tk4'3
City
jA°1 ,f+'/Y.�-+
Stats /74/4!/74/4!�P
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Cont
../G71. -i4/ //,,,,7-/X/1/40,
t Icettsa a
riVe- r �.37*i///
Balinese Pltcne
a
scribe Work ,or/ £'2—
Fans
Dryer
Evaporative Cooler
Hoods
Electric Furnace/ ducts
Miscellaneous
Range
Gas Log”
Gas Water Htr.
Solid Fuel/Wood Stove
Air Handling Units
0-10,000 CFM
10,000+ CFM
R9trlgeratlon Systems!
Hal Pumps (BTU)
1.100M
101.500M
501-1,000M
Co m p r eesor
1,001-1750M
1"0"-3HP
r_f/,./x/i0
Over 1750M
r ,
3-15HP
15-3OHP
30.5CHP
60 + HP
Gas Piping
1-5 Outlets
6+ Outlets
-Gas-Fired Healing System
GAN. kfdaP.:7- Ali
+BTU
•
I certify that the above Information as submitted.by'me.ls-tr.ue'and correct and further, agree that all pro-
visions of laws and ordinances governing this:type of work; Including inspection requirements, will be com-
plied with whether specified herein or not: The granting of a permit does not presume to give authority to
violate or cancel the provisions of any state of local laws:regulating construction or the performance of
construction.
SIGNATURE OF
OWNER OR
APPLICATION
DATE