HomeMy WebLinkAbout1988, 12-22 Permit App: 88004098 Furnaceor. poi pec 15,00
MECHANICAL PERMITAPI5LICATIONWORKSHEET °11 'rJ 9' 00
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTA , L 0
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 pf 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.
SIGNATURE OF
APPLICATION
Projects
Owner's Name 0ea) Wt ^/ / MI
u
Project Address (Street Name & Number)
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Ci jFJM'V . l�i
Stat.'
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By lsloh/Plat ,
Auoeabraparceill
Lot
Block.
Plat/
Applicant Kra of' �oam t .
" 5Lin-c6lna®
Gt(State, , r
r,f/O ei/) /Va.
zPqLxyyPhone<j
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Business Phone
Contractor
Address
City
State
Zip
Phone
Contact •
License a •
Business Phone
Describe Work
-.
Fans
Evaporative Cooler.
Hoods
Eleltric Furnace/Ducts
Miscellaneous
Dryer
Range
Gas Log
Gas Wale Htr.
Solid Fuel/Wood Stove
Air Handling Unita
0.10,000 CFM
10,000+CFM •
Refrigeration Systems/
Heat Pumps (BTU)
1-103M
1014WM
601-1,W3M•
1,001.1;60M
.Over 1750M
Compressor
03HP •
3-151-IP1530HP
,
30-50HP
.50+ HP
Gas Piping.
1.5 Outlets
6+ Outlets
Gas Fired Heating System
1.100,000BTU /
1IA
1G.,:,O0+BTU
-6,11161A P,Oi02 ad 2 y/0 e (
1 (Cc AAL A 9))
1
A 4MG.(°0 . .
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 pf 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.
SIGNATURE OF
APPLICATION