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1988, 12-13 Permit App: 88003981 Water HeaterMECtiANIdAtL:OEiliiiiittApkidgi*.WORKSHEET PLEASE PRINTist, o,oprisfrrApEtt:prqin, Tdb 4.(5,prim you UNDERSTAND :••• .*,,tp•!• rik) /66 4 zi-ro 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 • . r--"(9. IC fril—r.. .z..... .. Project Addle*, (Skeet NATO is NuMber / s, • ' 1 Iti P. 2'S:... • ,tf any E St a t* -'-'11, 'Slats • . ' • • u-ts .„. .Subdiiglu /Plat Nam. .. - '4R -rut) Cry Assessors Parcel I ' 71€ .6 119 - , : Nock. Plat I Applicant .: :,'.' '.: ;..;',...? ' ': '.... Si‘jr‘ iCi City . •State ' ..../ • ,s, i:/,‘);19••••24-,9. Ct... .- • . 7 2... 2. p_..vjt. Bosinats Phone . • • i :,...:- ...,5• 1.,. • -' .:- '''. ... . Coniraclor• 'hi A //1/1 < . ca eX . 2 , e. et ,,....):••;.0..‘,..“ .1:4, Zi •,., . .:: . laa 6495.re3.514 City ' State • . : • --c- , urae5:77// .riPaA'Atis Contact . . R LA ..S L—Adi \ 1 0 a . st License • • .- .8,1A,A/rf/r--3784/7- 844•Insas Phone , ./ 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