1988, 05-16 Permit App: 88001231 FurnaceMECHANICAL PE MI APPLICATION WORKSHEET
PLEASE PRINT ANDCOMPLETE'ONLYS c ARTS OFTHE,rORM YOL UNDERSTAND
.i:"7L"rfatir•11.
visions of laws and ordinances governing this.type of workrequirements, including inspection require , 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. m
I certify that the above inforation as submitted by me,is true and co
rrect and further, agree that all pro -
SIGNATURE OF
OWNER OR
APPLICATION £- / ' –"Y) r
DATE
Project
MI
MI
Owner's Name Wt First
Project Address (Street Name & Number)' i "`
N/ i t( Pg -O G -s r go
City
.SVak,9- /1'
'Stale
w4
Subdivision/Plat Name
.. (J)I/- -re
Assessors Parcel Ml
I
TJ1'� - 0-7 O r T
Lot
,.
Block _/
i
Plat 0
Applicant -
Address
CITYPhone
'-'4aate97','
State 1 ., ,; •.
i�-1 >' ^ Q o 3 7
1.
j' -•e k' i - Y y
... ; , ;..., ... ,
Business Phone
Contractor B19/VA/6 ////`� /
Addrou /�/%(��/�J1�/ 774/
City Q ��y`/
State .
:Zlp,. ==r A
Phone j-
ContactLicense
IZU S S L.(A&I .p El
0 •
3,1,I7/I/, �AG376'4
lilts Phone
Describe Work 0,C-"./ .i" ? / pi L trur/�/A-P�
Fans
Evaporative Cooler
Hoods
Electric Furnace/Ducts
Miscellaneous
Dryer
Range •
GU Lop',','
Gu Water Htr.
Solid Fuel/Wood Stove
Air Handling Units
0.10,000 CFM '
( 10,000+ CFM
Refrigeration Systems/
Meat Pumps (BTU)
1-100M
101-500M
501-1,000M
1,001-1750M
Over 1750M
•
Compressor
0-3HP
3-15H P
15-3OHP
30.50HP
50 + HP
:as Piplr•
1-5 Outlets•
6+ Outlets
RAW -Fired Hearing System
1-100,000BTU "
10v,.A0+BTU
A€wnro k 0/6' p.? - / 0._T-
S.2,/L
.2,/c-
.
tale! t . ..
.i:"7L"rfatir•11.
visions of laws and ordinances governing this.type of workrequirements, including inspection require , 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. m
I certify that the above inforation as submitted by me,is true and co
rrect and further, agree that all pro -
SIGNATURE OF
OWNER OR
APPLICATION £- / ' –"Y) r
DATE