1988, 12-13 Permit App: 88003981 Water HeaterMECtiANIdAtL:OEiliiiiittApkidgi*.WORKSHEET
PLEASE PRINTist,
o,oprisfrrApEtt:prqin, Tdb 4.(5,prim you UNDERSTAND
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I certify that the above InfOrMatiOrotiviutinilqpd:by:10:110runhd.correct and further, agree that all pro-
visions of laws and ordlnancOt.goVarding thls4ype of work,ThaddInginspection'requIremenia,.will be com-
plied with whether specified.heralry of not: The granting:of kperMIt does not presume to 'givp authority to
violate or cancel the provislons.of any.state orloczatlawa.tegUlating construction or the performance of
construction.
SIGNATURE OF ' 9. !-
OWNER OR .Cir DATE
Project I
Owner's NettleLast. . MI
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Project Addle*, (Skeet NATO is NuMber / s, • '
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Assessors Parcel I ' 71€
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City
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Coniraclor•
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Contact . .
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License • • .-
.8,1A,A/rf/r--3784/7-
844•Insas Phone
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Describe Work '.....;ss
.4-rej.7--4-e_c CA- /-J-0, 7 frv-4-rCie_ 7---0ft
Fin.
Eyaporativi Coolie
Hoods . . • .
. ,
Electric Furnace/ducts
Miseallanaous
.
Dryer,
. .
Gas (eg"f; t " ' '.. .:
Gas Water illtrk
Solid Fuel/Wood Stan
.
Air Handling Unite
.
0-10,000CFM .
10,CO3+ CFM
RabloefallOri Syllable/:1-1COM
Heal Pumps CSILI)
.
rief.toom • •
501-1,CCOM
.
.1,001-1760M ./.*
....1 „.'.4tig-
Ptir.174" ; • . .
V.;:::::. `1.•(:.:.?:..;‘!• “. , •
"
Cornprusor
0,3HP
3.-1514P •
i': .7... '
::;.. i4t...
30-50HP
50 + HP
• . ' .- • .
Gas Piping •
. ,.. .
4-5 OUllate' • Vi.::+44/7•,''••••••.:\ ; 4•'?'" l
...
6+ Outista
•
Gas FIre4 Hosting System •
'
.1. ii, t., o ta ci.
10ar.000 4. BTU
.• .
. . .
. .,!; ..i..• . ' , ....*.t.': • ,...:17,ii/, i......I';.... :
. .
. . .. ... ,....r .. ... ... . ,.. ... ... . .
I certify that the above InfOrMatiOrotiviutinilqpd:by:10:110runhd.correct and further, agree that all pro-
visions of laws and ordlnancOt.goVarding thls4ype of work,ThaddInginspection'requIremenia,.will be com-
plied with whether specified.heralry of not: The granting:of kperMIt does not presume to 'givp authority to
violate or cancel the provislons.of any.state orloczatlawa.tegUlating construction or the performance of
construction.
SIGNATURE OF ' 9. !-
OWNER OR .Cir DATE