1988, 05-23 Permit App: 88001305 Furnace, ACMECHANICAL PERMIT APPLICATION WORKSHEET / a 0 o
PLEASE: PRI NT AND COMPLETE ONLY se4 Rt%pF THlr:eORM YOU,UNDERSTAND °° kvv a
lProject,
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Owner, Nemo WI ,Qp First.. "Are-7
Project Address (Street None & Number)'' ''',7.,;.,,R -?7/....H...' C 09. Y/'�'L--0 �(�+ 1-� VALL
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Stat.
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Su.. on Plat Nam�j-(ir
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Assessor. Parol 1 / Silk, ..eRSDS .. ....
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. Bldtlr.1
Plat 1
ApplIcani -
'Address
.
City
'iSlale_. 1
Lp•
,:>.99. /6...
Phone
'.
926 4 4/ 0
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Rtsin=
Plato,
Contractor •
Addrsu/'D
&k '9 74
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slat..
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Phon.
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Contact RU S , L. -t Al JJ E
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Br.Inee.
•
Phone
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Describe WorkC
i�L�}! o c Furl v g e� , ��
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J f^y'�
Fane
Ev.poratIve Cools
Hoods . . .
El (lc Fumaoe/Ducts
Miscellaneous.
Dryer.
•
Range:;
.Ou 1-W"... ..
Gas Water
Htr.. •
Bond Fua/Wood St we
• Alr Handling Unite
0-10,000 CFM •
10,000+ CFM
Retriperallon Systems/
Heal Pumps (BTU)
1-100M'
r-
101.500M
.
501-1,000M
1,001.1750M .i
Over:1750M''
!Ei :. .
Compressor
0•SHP`I/
1
! A%
15HP . ,.
.. ..
15J0HP'
. ... .
30-50HP
50+HP
Gas Piping
1-Souu.te .
- .. . ' -
6+ Outlets
1a„All +BTL
w
G .//� `C3/sf ��
b
�/y1��•.._.-._-
�S-F1.Led Healing System
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I certify that the above. informatlon''asisubmitted`by'me.is trueand correct and further, agree that a pro-
visions of laws and ordinances governing this: type of work,'Inoluding 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 provislons.of any. state of local lawa':'regulting construction or the performance of
construction.
SIGNATURE OF
OWNER OR
•
APPLICATION
DATE
S 2— 7 -1