1988, 09-21 Permit App: 88003095 Furnaces a 0
MECHANICAL PERMITcAPPCICATION WORKSHEET P- ce a
PLEASE PRINT AND,COMPLETEONLY TtctQSE PARTS.0jTHE,FORM YOU UNDERSTAN —
I certify that the above information as -Iand 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
APPLICATION
DATE
Project I /
Owner s Name W1 First MI
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Project Address (Street Name & Number) 'F / ' til[ /
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S f KA-° C
Slate
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nssoasors ParcelN
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LDl
Bleck
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Plat 1
ApplicantAddress
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State State
P
;90206
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StaleZip
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Phone
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Contact
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rant
Evaporative Cooler
Hoods
Electric Furne:a/Ducts
MIatNlvMous
L
Orver
Range.'
Oat
Gee Wats Htr.
Solid Fwll Wood Stove
Air Handling Units
0.10,000CFM
10,000♦ CFM
aarlperetlon Systeme/
--ieat Pumps (BTU)
1-100M "
101-500M
501-1,000M
1,001-1750M
Ova 1750M
100MP
Cnmoreasor
3-15HPI" 153OHP"
30-50HP 150+HP
l1-5
3ac?IC!np V
Ver.
Outlets ""
,. :. 1 .
0+ ouhels
--
rias Fired Heating System
1.1 W,000BTU
6, O" Ip 0 c,
10.r0A0 a BTU
I certify that the above information as -Iand 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
APPLICATION
DATE