HomeMy WebLinkAbout1986, 07-01 Permit App: 00011986 Water HeaterMECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
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Owner's Name WtFiIrlge/— CL,
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Project Addres (Street Name 8 Number) U
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State /� ��
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Subdivision/Plat Name
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Assessors Parcel II ��5 //I zit?*
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Applicant A / n�. ---
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Address
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zip / / 02(p
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Phone 9� b ^ 5 / 7
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Business Phone
Contractor
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Stale ..
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ZIP - : - -
Phone /
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Licensee `
Business Phone
Describe Work al " I cio 'he ifia xic "A , 'S6,, ODO �1 i.__,
Fen
Evaporative Cooler
Hoods
Electric Furnas/Ducts
Miscellaneous
Dryer -
Range -
Gm Lap - - - -
Gas Water He.--
0-1/..
Bond Fool/V4 Stout
Air Handling Unite
0-10,000 CFM
10,000+ CFM
Refrigeration Systems/
Haat Pumps (BIM
1-100M
101-500M
501-1,000M
1,001-1750M
Over 1750M
CompressorOJHP
3-15HP
16J0HP
00-50HP
50+HP
Gas Piping
1-5 Ounce
6+ Outlets
Gas Fired Heeling System
1-IOO,000BTU
1Q,,:AO+BTU
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
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APPLICATION
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