1988, 07-27 Permit App: 88002395 Furnace MECHANIGOJL.PERMIT APPLICAT101414/ORKSHEET
S t ,,, RTiSOF TH ,EORM YOU UNDERSTAND
PLEASEFRIhN ANDCOMPLT,E ONLY c-'11 h r�i ',
t4,17Q 5r
.. .-4-.534 - ( 2-V? I
Project t
Owner's Name Last i.47-1
_ /
First, MI
....... ..:.
nrolect Address(Street Name 6Number) ' (, ? 0 df t54,: ..,',..,. -14,—.-,-14,—. •
Coy rite 6ubdivblonlPl t ame n pd,„.." n
1 Block.. �7LPlat
~—ns_ieseors Parcel M - 6 ' /
I
r "t • ... Address
Applicant
S er om.
Oily I State .. 'VP Phone
� q z .
9.2.-4 G Y 7
Y
- Btisinsa Phone
Contractor „
/9/VA/ �� L/
State ,^ , //��''--AA� / e r /�-�
�/� �lt' I Burow Phone
Contact R U S L(AM D I Limns'� .Vii/ / .37,4/7I -- ..
Dasc!Itx Work
Fens Evaporative Cooler
Hoods Electric Fuming/ducts Miscellaneous
•
- .Range - Do0'.,.
Lias Water Htr. Solid Fuel/Wood Stove
Oryer v t.
0-10,000 CFM J 10,000+CFM
Air Handling Unita 1
Refrigeration Systems/ 1-100M
` 101-500M 1541-„000M
-feat Pumps(BTU)
1,001.1750M Over 1750M
0-9HP 9-15HP
1530HP 30-50HP 150+HP
Compressor _ ;.
6+Outlets
1-S Outlets
•
G63 Plping . 1Qr,:AO+BTU
+ - 100,000!;711
Gas Fired Heating System II,(;/ry✓I✓i7a- c'' 0J -.7c i
i'
•':p47:1:,1-,,
, � e ,
pro-
I certify that the above Information`as submittede of work,tr'ue'and correct and including inspection requirements, will t Iltbelvisions of laws and ordinances governing this:type es not
com-
plied with whether specified herein or not: Thefgrantingiocaaws:regulatingoconstruction oet a performanceto
of
violate or cancel the provisions of any state of
construction. .
APPLICATION '7—27 - � �
SIGNATURE OF � _f �'►2 ” ,DATE
OWNER OR _