1987, 10-08 Permit App: 87003512 Furnace.. (
67 l/-0
MECHANICAL PERMIT'APPLIZ �ATFON WORKSHEET� 1
PLEASE PRINT AND,COMPLETE'ONLY), SES ?ARTSOF THE;f ORM YOU UNDERSTAND
Project N
Owner's Name Wt
iSkA-rvso nl
First MI
i c! e /c40
1
,–.."–/ (!—
Project Address (Street Name E, Number).'
1(9 7
-State
LA.)A
N .
..., -•:.
,rCL
j Al Ton/
$ubdIvialonfPlat Name
Evaporative Cooler
'
c„,
S Po K
A33e8sOra Parcel N
Mlacellaneoua
,.
Lot .
Block
Gu Water Htr.
Plat N
Applicant yy�
.S, , e , ,5/
0-10,000 CFM
10,000+ CFM
Address
1-100M
• 101-500kt
City
SPo.f, 6
State
W 4
1,001.1750M
Over 1750M
2 91 G
O.3HP
p2z, ..5-2-s-7
15 -301 -IP
30 -501 -IP
50+HP
Ges Piping
1-5Ouuets -
Contractor
Addreu
rely
Stale
Z1D%..;. .
Phone'
Contact .
R U S S L ci Al D F
Lianas 0I.
2f6 4/.• r" .37f, /7
Bus Phone
1'
Describe Work
iR E r & -uE- G As y ---1744..e --J4-
Fans
Evaporative Cooler
'
Hoods
Electric Furnace/ ducts
Mlacellaneoua
Dryer
Range •
pas Lop' • '
Gu Water Htr.
Solid Fuel/Wood Stove
Air Handling Unite
0-10,000 CFM
10,000+ CFM
Refrigeration Systems/
meal Pumps (8TU)
1-100M
• 101-500kt
501-1,000M -`
1,001.1750M
Over 1750M
Compressor
O.3HP
3-15HP
15 -301 -IP
30 -501 -IP
50+HP
Ges Piping
1-5Ouuets -
6+ Outlets
Gas Flrad Heating system
,C
1-100,OOOBTU 110v,J11V+BTU
.ti.✓o at G, 4 4 2 — 7 5
'j:+r.t eli'li�:, �: . .
I certify that the above Information as submitted by'me,is>true'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 7X7APPLICATION
OWNER OR ��`� DATE /C).- 77