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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