1986, 12-09 Permit App: 00014452 FurnacePr°'ect" 1:145
Owner's Name Last ,p
/O
LJz') .-J
C Flrsst. MI
. iV/V
Project Address (Street Nam* d. Number)
32 At 419)e,
City
A/
State
Subdivision/Plat Name
Assessors Parcel #
Lot
Block-
Past 0
Applicant
14/47
Address -
,
City
State
bD'
,,z/�
phone
X33
Business Phone
Contractor
/V/ 7-2-/./— 7/�
17/ZN.
Address
f �' /jg'
•r `i
State /�
Z• f9,--,5---
Phone r�� //
Contact
ft4L/
7 /%9Yi 4//f0/AI/
Llcenae s•Buelnees
V/1/ i�,3i/cf /V?
Phone
/i
Describe Worke� / ,1:Z-
72/>€,71#41." 7 "
Fans
Evaporative Cooler
Hoods
Electric Furnace/Ducts
Mlsc*llaneous
Oryer
Range
Gar Lop'
Gas Water Htr.
Solid Fu*I/Wood Stove
J
Air Handling Unita
0.10,000 CFM
10,000+ CFM
Refrigeration Systems/
-teat Pumps (BTU)
1-100M
101-500M
r
501-1,000M
1,001.1750M
-
Over 1750M
Compressor
0-3HP
3-15HP
15-30HP
30-50HP
50+HP
.1
Gas Piping
1-5 Outlets
6+ Outlets
Gas Fired Heating System `
1-100,000BTU
Z4-/ViVe7i/114-3 -
10;.,L00+ BTU
2,
,
..... .. . ,,. i,.f P...: ,, -i
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
APPLICATION
DATE