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1990, 10-25 Permit App: 90005674 Furnace, PipingMECHANiCAL PERMIT APPLICATION Information Workshimet JOB STREET ADDRESS: die;gt7 c- CITY/STATE/ZIP .40?4/2-ote t()7Q (?0,--1/._-5 PARCEL NUMBER: ark_41/A.44_, OWNER: 400. -y1„ -v MAILING ADDRES : CONTRACTOR: Street) coAJJ &4A1-1,01, e-751/11 PHONE NUMBER: &IQ 6V 11.? pte z 94- (City/State) (Zip) LICENSE;:NUMBER: t.c$, - e -a) - PHONENtJNBER:4'R --//71 MAILING ADDRESS: /-04 Zi)4 A.e) City/State). (Zip) (Street). 111111111111\ MECHANICAL WORKSHEET/FEE.SCHEDULE NUMBER X EACH OF UNITS UNIT DESCRIPTION = AMOUNT DUCTWORK SYSTEM - - WOODSTOVE/INSERT GAS WATER HEATER HEATING EQUIPMgNZ<100,000:.BTU. HEATING EQuT pmErytAT o °D.() ,..13TU GAS. PIPING (1 -4OUTLETS) GAS REFRIGH-1100N41-3Tuq NOT = A/C OR HEATH::PUMP REFRIG_L-101.00MBTUREFRIG• BTU 501-1,000M REFRIG2:1„qpIi;750M-BTU- REFRIG - - HEAT :PUMP & AIR CONDITIONER 0-3 TONS HEAT PUMP & AIR CONDITIONER 3-15 TONS - HEAT PUMP & AIR CONDITIONE..15-30:TONS.. - . _ HEAT PUMP & . 30-50 • TONS • HEAT. PUMP. & AIR CONDITIONER +50 TONS VENTILATING..FANS-- EVAPPRATIYE COOLERS HOO ay TYPE 11 HOOD - CLOTHES RANGE GAS LOG - - MISCEI,LANEOUS4NOT,i...;COVERED...-ELSEWHERE uNti TED UNLISTED 4GASAPPLIA.NCE p 000 : USED ;'41).:KJ:Tmcg:49pp). DA13!q.4.ANC*5:!40&00Pr''. WAX -- AIR A.V4ZZ4-A-t* o oze • , , • • - • • 7.- • /,‘tr,e) • NOTE : • T247;.171:111,2„,,_ SIGNATURE, )..91LTNT:-JS.V2,TOTAIZEgMI,T, T EE o a - , FEE DUE • • .,• ,,,i': 5,7,,t1p