Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1985, 10-18 Permit App: 00008167 Woodstove
MECHANICAL PERMIT APPLICATION WORK$WIIT PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND I certify that the above information as submitted by me is true and correct and further, agree that all pro- visions of laws and ordinances governing this type of work, including inspection requirements, will be com- plied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state of local laws regulating construction or the performance of construction. SIGNATURE OF OWNER OR AfAir02 APPLICATION DATE O cT / 8, /9 5 Project# �j "7 Zj (co ` Owner's Name Last First MI W Wt"re ipvkiv Project Address (Street Name & Number) / 2 D ,/.. MAR S City S /40/(41-0%/6- -State 6r/A- Subdivision at Name VT " vC TO V 010-A n #4-e N r Assessors t i — t30'3 Lot Block / Plat# Applicant JO //it) T' `� /1/"(r Address fl 0 , ,80*- /3 7/69 City State Zip Phone Business Phone 9)S 2$/0a Contractor Address / .0 5 A4D. A4,4hee LS 2 City s'© State l�,4- Zip 9 9 I Phone 9 Z 593 Y Contact License # Business Phone Describe Work n,vae o-4-7- GOX%E STovc /Zc/°«}cE al f ,40c r'6ere Srv- Fans Evaporative Cooler Hoods Electric Furnace/ Ducts Miscellaneous Dryer Range Gas Log Gas Water Htr. Solid Fuel/Wood Stove Air Handling Units 0.10,000 CFM 10,000 + CFM Refrigeration Systems/ Heat Pumps (BTU) 1-100M 101-500M 501-1,000M 1,001-1750M Over 1750M Compressor 0-3HP 3-15HP 15-30HP 30-50HP 50+HP Gas Piping 1-5 Outlets 6+ Outlets Gas Fired Heating System 1-100,000BTU 10v,C.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- 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 AfAir02 APPLICATION DATE O cT / 8, /9 5