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1988, 07-07 Permit App: 88001863 FurnaceMECHANICAL PERMIT APrLICATlON'WORKSHEET PLEASE PRINT AND COMPLETE ONLY\ j StPA�R1•,TS OF; THE FORM YOU UNDERSTAND yey AS 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.permlt 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 APPLICATION�{ OWNER OR DATE �°��_$� Project 0 / e& -._S Owner's Nem. Last First MI %3 i ! n .. P +�K./� 4" Project Address (Street Name & Number) .' 1 Ai S o':`: 0/ems All' _ Cit �a lc State i.. . >,4- Subdlvlsl Plat Name PP612`ruie- rt -/ Assessors Parcel M ,. Lot Block • Plat N Applicant - - - Address C n y State Itii TJp, .Pfwne -'- . 6. F.-78 V3 o ... - Business Phone -; ontractor 8/✓ � , 2/�.L CC/ , Address% A79-.. / ' AlA79-. Al = ty State `- p,V � Phone L` Contact R to S S L_(.,1 of .0 E Llosnae 0 .�i3�+�//I/, i.37,4/7 Business Phone a Dosc'Ibe Work l'ahs Evaporative Cooler Hoods Electric Furnace/ ducts Miscellaneous Dryer Range Gas Log'...... Cas Water Htr. Solid Fuel/Wood Stove Air Handling Units 0.10,000 CFM 10,000+ CFM Refrigeration Systema/ -seal Pumps (BTU) 1-100M 101-500M y 501-1,000M 1,001.1750M -• Over 1750M Cornpressor 0.3HP 3-15HP 1630HP 30-50HP I 50+HP Gas PIpIno 1-5 Outlets . • - ! 6+ Outlets Gas Fired Heating System 1-100,0008TU '.1t) ,.A0+BTU 46L 47-0x a16 Q3 --7o certify that the above Information as submitted by•me,Is'true and correct and further, agree that all pro- visions of laws and ordinances governing this type of work, Including inspection requirements, will be com- plied with whether specified herein or not. The granting of a.permlt does not presume to give authority to violate or cancel the provisions of any state of local laws .regulating construction or the performance of construction. SIGNATURE OF APPLICATION�{ OWNER OR DATE �°��_$�