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1986, 10-31 Permit App: 00014051 Furnace
l _J MECHANICAL PEI,MtT APPLICATION WORKSHEET `PLEASE PRINT AND. COMPLETE 'ONLY`_THRSE PARTS.OfJH,E,FORM YOU UNDERSTAND ll I certify that the above Information as submitted b'y''rrta.ls'true and correct and further, agree that apro- visions of laws and ordinances governing thls 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 OWNER OR APPLICATION /6 3/_ J DATE J Project Ownor's Name Wl First . MI /3LY7 9L Jfr/,S: G Prolnn Address (Street Name & Number ' 2- G. 47,///✓/ �/�'//g5:2 C,Iv-5 �7�,A/ State MI.BuEdlvlelonNamelLDA f ) Assessors Parcel I %N/ A oplicant_/1/117.6- q/ /1r�q/ Addreea Cliv State .., n,D', 9l21°/V Phone /0 ✓/ 9.3 Convector g,q,✓,✓r,c fuze. 4' ..... _.. Address , "Zs S9 -3q4 City fPG' Ar✓.- Stale L74 ZID f9zo� Phone ,..6.--3.67-„,77// ay i 7// Contact .o///,/ 1/2i971' /W1/ License a 241/174// C-37f>1/i Business Phone ,. byscrihe Worts ,C�Z 4 C 6/Z--e45C - :any Evaporative Cooler Hoods Electric Furnace/Oucte Miscellaneous D: ror Range Gas Lop ' Gas Water Htr. SoIld Fuel/Wood Stove Air Handling Unite 0-10,000 CFM 10,000+CFM meirlgeration Systeme/ ro4it Pumps (BTU) 1-100M 101 -503M 501-1,000M 1,001-1750M . Over 1750M Compressor 0-3HP 3-15HP 15J0HP 50.50HP 50+HP Gas Piping -•l 1-5 Outlets 6+ Gullets p� r`aasFi rod Healing System 1.100,OOOBTU \- I' as•c- +-B/TU L�/✓4Y©/" /4-4---g � g 12-16217474Y II lI 1 : 1981t3 7# ?4 __-- ito IL),.— ll I certify that the above Information as submitted b'y''rrta.ls'true and correct and further, agree that apro- visions of laws and ordinances governing thls 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 OWNER OR APPLICATION /6 3/_ J DATE J