1986, 11-20 Permit App: 00014334 FurnaceMECHANIC. PERMITAPPLICATION:WOR•EET
PLEASE PRINT COMPLET,E'ON,LY H s s�PAFitssrgH ORM YOU UNDERSTAND
Prof set # iif33�
I
Wt First. ' .' MI
Owner's MarneCovL/ ‘rae$E
umber) /- .
Pro(«I Address (Street Nunn 8 Number)/•i;',:::,.
4/7 i1/, 4///-4,7r/' 4
Clly
'Stele
BubdIvi lel Name
Assessors Parcel / 150 — 0111
/�y 11 ' .. _
'apt
I
Block.. /�
IOL
Plat./
L knee)
�
— Applicant —6/0717.
Address
City
Slatey,
.,apj.. ..,.-.:.: r;r / 61
,z0 .
Phone
9244--57a
•'q .: - '
Balnsa Phone
DOnlrapar BM✓�✓>�iC,. ..:
C/�G C
Mdsntd.�Jly... 411v
City
state .
'.Z�7% ` f J
s,
Plane ��J�4/ //
.../711‹.041-36/.
Contact
✓;7VA/ hf/7100//‘1/1/ •
Llcensel
A/. VA/,EIr37,4/7�
Baines Phone
..
_
Describe Work ./
"WEv l /.0
Fans
Evaporative Cooler
I
Hie
t
Eleelrlc Furnace/Ducts
Miscellaneous
Dryer
,Range •
Gas lop'',;
Gas Water Htr.
SWId Fuel/Wood Stove
' I
Alt Handling Unite
0-10,000 CFM •
f 10,030+ CFM
gelrlgeratlon Systems/
Heal Pumps (BTU)
1.100M
101.500M
•
1501.1,003M
It
1,001.1750M i.'
Overh750M
10-3HP•
Compressor
3-15HP ' '
1530HP
30-5OHP
1 r 50+HP
Gas Piping
1-5Outlets - .. • '
.•
5+ Outlets
/�I/
� '•
dfac IFIF ri Heating System
1-103,00:BTU '•
1Q.,,,00 tByu �.�c,�/ ser:
0/2.62,27"/ 5
.n .. .. .. . {:.
.,
d frther
I certify that the above Information as'submitted by. rne.isirue.and.correct anu, agree that a pro-
visions of laws and ordinances governing thls: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 laws tregulatIng construction or the performance of
construction.
SIGNATURE OF
OWNER OR_
APPLICATION/l g_P
DATE