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1988, 11-17 Permit App: 88003843 Hot Water Tank I MECHANICAL PERMIT<APPLICATION WORKSHEET PLEASE PRINT.AND COMPLETE ONLY mS t , RTS•O THFORfy1 YOU UNDERSTAND el y i, y4%:1 ,.,r :.+ Y.r i i 0 3 3 - 0 2 0 c . *" Pro)et t MI °' Owner's Nam. Last Flr1t-: ''' ' Project Address(Street Name&Number): 1— • z -: : W. Inc-L6 n , I ,;i,y State W Subdivision/Plat Name S © !G�"►"f r� • .elle . €�.; j ,..._ Ck. (- ► Assessors Parcel/ L-- `Biotic Plat elle Applicant Cliy Slate ll' ZIpr....,.-,::.. •. Mono 1---- . , t'.`.2/t : `t. .4 . Rhine.Prion. contractorAddress B/,/.V/V6‹ �L/: � ,' Al. City • still 7Jp�� ?—� Phon•. . / / Con lad License a • Business Phan. Ru S g Lett of .0 E 2.44/1/z--/ X---3 f4"7 a Dascrlpe Work 7� i•e. 9c _ G 4-g j7:07- 1"/A-7 z' `4t Fans EvaporativeCool.r Hoods • Electric Furnace/ducts Miscellaneous pryer Range. ' Gas Lo0'.%• Gas Water Httc. -Solid Fuel/Wood Stove ' 0-10,000 CFM ' 10,000+CFM Air Handling Units r Ralrigeration Systema/ '1-100M 101400M 501-1,000M -teal Pumps(BTU) 1,001.1750M ovir 1760M 0,..3HP 3-I5HP 15-3OHP . 30.5OHP 60+HP Compressor ... • • 1-60utleta ' .• .. ' ``..` 6+Outlets Gas Piping - ' • _n 1-100,000BTU 10r. 0 a Bit) Gas Fired Heating System . ` „ ` . I certify that the above Information'as:;'submitted'by:''me°isitr.ue'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.permit does not presume to give authority to violate or cancel the provisions-of any state of local'lawa:regulating construction or the performance of construction. SIGNATURE OF . I APPLICATION // __ /7_ a 5 OWNER ORDATE