1988, 10-19 Permit App: 88003438 Furnace, Piping _.:_________----- ..•: .:4.<:Y•-44a`'d'Y'+;}!'e AI!•T'-+ ..•: •0%.:3 0-•'n1•:..r lei r?i•:?.#4+;i,,:al`s:?;:ri.7'�•:M�:�< i'::xw.r ..._ .Yx. .t
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M NICAL PERMIT APPLICATION WORKSHEET • .
PLEASE PRINT AN MPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
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. Project' 3‘ig_f3
Owner's Name Last First MI •
fat-le K Joh"'
Project Address(Street Name&Number)
3 /3/s sieif. K,or hk .
City State Subdivision/Plat Name
5'okati w /4 � FSCI.J ' •
Assessors Parcel I 215,13 /z6,enLot Block. ! Plat/
Applicant Address
•
City State Zlp Phone
Business Phone
Contractor Address • •
rr di./,-d /fes f/,v f E 575--1-'ti1.:0/6v ,.I .
City State • Zip Phone
.3,0 kezA/e__ w.9 9 y1.e.•.V 116.7- yovo
Contact • Licenser • Business Phone
K ,C cr•0-1 BG4 41_ . ' /era- SPL kr3 1,7 y67-.9ov u . .
Describe Work .
Re.navu f� / c_ r4�-s �,.r,,.r�c� ECJ f/ �bo�noo i3r 11/4" .,e-ft: A,wac-L
Fans vaporative Cooler Hoods Electric Furnace/Ducts Miscellaneous
Dryer Range Gas Log • Gas Water Htr. Solid Fuel/Wood Stove
•
Air Handling Units 0-10,000 CFM 10,000+CFM •
Refrigeration Systems/ 1-100M • 101-600M 601-1,000M
- Heat Pumps(BTU)
1,00171Z5OM Over 1750M
Compressor 0-3HP 3-15HP 15-30HP `i�j 30-50HP 50+HP
Gas Piping•
1-5 Outlets --if- --0
- 5�,� B+Outlets
Gas Fired Heating System 1-t00,000BTU ! •� 10:.,,:,00+BTU
• . '12 -CI' '° 0/'6e • .
• .
_ 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 corn-.
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. // .
SI(INATI IRF(IF K ,ice,. / d„ _ APPI ICATI( N / ei./-k-r