1988, 10-07 Permit App: 88003111 FurnaceMECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
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-
piled 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.
SIre, NAT[ IRF 0F A DDI Ir'%A'r1nI I
Project Ir
Owner's Name Last First MI
Guns o /L)
Project Address (Street Name & Number)
S. So 6 A
City
,5/,70 g", t:
State State
I CA J fi
Subdivision/Plat Name
`'j YA LA t-,, In, ry v^j S K
Assessors Parcel /
z.^z rJ 4 -2- —1 Z -2-
Lot
Bloat .
Plat r
Applicant
Applicant
Address
City
State Zip
Phone
Business Phone
Contractor '// /
7—P 1 c� N 1 I'd �7' / Cft Tr AJ
Address
.(i
Clty� O LQN�
/�
Stats w Zip
9 9a o Fr
Phone
y- 7 yv o 0
Contact
Llcens /
Business Phone
Describe work
Re ��tc c- Fu/v✓ ase TX 6-4-5
Fans
Evaporative Cooler
Hoods
Electric Furnace/ Ducts
Miscellaneous
Dryer
Range
Gas Lop
Gas Water Htr.
Solid Fuel/Wood Stove
Air Handling Units
0-10,000 CFM
10,000+ CFM
Refrigeration Systems/
Heat Pumps (BTU)
1-1100M
101 b00M T
1 -1,000M
1,001-17,50M
Over 1750M
Compressor
03HP
3-15HP
1530HP
30.50HP
50+HP
Gas Piping
1-5 Outlets
3pC
6+ Outlets
Gas Fired Heating System
1-t00,000BTU O
t0u, 00+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-
piled 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.
SIre, NAT[ IRF 0F A DDI Ir'%A'r1nI I