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1985, 10-14 Permit App: 00008096 Furnace
MECHANICAL PERMIT APPLICATION WORK=MEET PLEASE PRINT AND COMPLETE ONLYz11-1OSE PARTS OF THE FORM YOU UNDERSTAND S 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 � APPLICATION /6_ / mgr OWNER' OR 1VVr��� DATE Project# CO'a "` �' Owner's Name Last First MI Aga c pode5 L. -- Project Address (Street Name & Number) f'73Zz LL 14' A v- 9Q 2_ 12 City C olra�'� State ��) l�/o Subdyyp�n/Plat /Name U iIAro 4V e. A©o rs Parcel # Assess7 el 53 `i — 013 2 Lot Block Plat # ApplicantL� `' ,��J Address City State Zip Phone Business Phone / ' r ContractorduG�C !L7( Address g fDL/e , e7 y/�./� OY City Aliaig4-4 State u/a Zip 9971 F Phone rZ 1° -71?7 Contact License #f4L 7e "6' Business Phone Describe Work 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 10.'0300+BTU JS 'i'( jooa' )rte "0f, 040 LLJ 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 � APPLICATION /6_ / mgr OWNER' OR 1VVr��� DATE