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1987, 10-29 Permit App: 87003753 Furnace
MECHANICAL PERMIT APPC tATQN'WORKSHEET eeilEASE PRINT AND;COMPLETE'ONLY4 QSgiPARTiS OFiTHE,FORM you. UNDERSTAND '', >•%;: , 86K130 I —(C /kO et- O O I certify that the above Information'as'submtriie; itted`by'me.is and correct and further, agree that all pro- visions of laws and ordinances governing tnis.type of -work, InciudIng 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 OWNER OR APPLICATION /0 29-97 DATE Protect • 3753 Owner's Name Lest Fint.. j - ,,. MI p ss/ y .:..k � V /� Protect Address (Street Name A Numbs) p G 93/8 ..../.1±4-7,1/ • Coy SPtik�� State w�, BUDOIVIe tPlat Name l/ Y )1--5Re•" . Assessors Parcel / g75-17-8— f.S©1 Lot . . Block Plat / Appllcanl ' ' .. - .. kid. ' City 3PoKAa.)ti: State q. Wf} ZP; .., '• 9.? -06 phone 9' -IV vs.z? Business Phone Contractor BAi.✓/✓/i' irL/L Ce/d Mdreu 4,93� City`! State /�, ' / Dp `tn f i-� Plane L.5--3.5.7--/7// � J� /7// Contact • 'RU S S (A Ai D F_ License/ f7/f v/✓e>53714/7— Btslnaes Phone // /. Describe Work R E la L/4/. Ce /e, /. Q /4 ,rC e 19-e..6- 1� Font Evaporative Cooler, '. Hoods . - Electric Furman/Ducts Miscellaneous — Dryer Range - • Geo Log ' ' . - Gas Water Htr. Solid Ful/Wood Stove Air Handling Units 0.10,050 CFM 10,000+ CFM Refrigeration Systems/ -eat Pumps (BTU) 1-100M 101-500M 501.1,000M 1,001-1750M ,• Over 1750M Compressor 0-3HP 3-15HP 1630HP• 30-50HP 60+HP Gas Piping -1-5 Outlet. •1-6+Outlets - a A/o_ . 0M 0 a - / O Fired Heating System- ' w.,; I certify that the above Information'as'submtriie; itted`by'me.is and correct and further, agree that all pro- visions of laws and ordinances governing tnis.type of -work, InciudIng 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 OWNER OR APPLICATION /0 29-97 DATE