1986, 12-03 Permit App: 00014446 Water HeaterMECHANICAL PERMIT ArPL1 CATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY 'THOSE PARTS OF THE FORM YOU UNDERSTAND
•
11/66;..
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
(11A/AIG10 1110
APPLICATION /o /g
1.1 A Tr"
Project Il 1lT'"i k
Owns►''. Name Wit first MI
Project MCr.a. (Street Nam. & Numbs) //� �� `�q
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Subdivision Plat NOm.
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Pitons
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6i7,(A.4 '—i��lcUla-17vr.-I 2 – – 31? Ail
Business
Pita,.
Desalts work L )
Faits
Evaporative Cooler
Hood.
Electric FurnwslOucta
MlsosllaneOus
Dryer
Rupe
Gm Log
Gas Water
HH!4r.
�! Fudl/Woof: Sumo
/Ur Handling Units
0.10,000CFM l
10,000+ CFM
Refrigeration Systems/
Heat Pumps (BTU)
1-100M
101.600M
501-1,000M
l
1,001-1750M
(
Over 1750M
Compressor
0-3HP
3-15HP
15.30HP
30-50HP
50 + HP
Gas Piping
1-5 Outlets
6 + Outlets
Gee Fired Heeling.ysIa n
1-100,0008TU
10 00 + STU
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
(11A/AIG10 1110
APPLICATION /o /g
1.1 A Tr"