1989, 01-04 Permit App 89000031 Furnace,/ r�s
t 1-
I Project N 8Q-3/
MI
Owner's Name Last First . ii.A
Protect address (Street Name & Number)•'•
/ . 3 O ` /ZJ ` y .-. „•' R 0
Oily
,.S P o ,t 4
State
w ,4
Subdivision/PI t ame
aR-uici n--/ RAT
nsseesors Parcel M I� 5 _ / t %/�
t / t/1- f^
Lot
Block _
Plat N
Applicant
fi ^y-r �,�ir
Address
;ly 1State
7.
bpr ?.2C
Phone FZ G 7 6 0`7
— - - -
Busiest 1Kwne
.'ntractor
Address A
&C '/
;Lily
State
Zip'• :•:.
Phone
Contact
LAS S I--CAn1 SD E.
Licensee
�ffiV/t/. i-.37Y� /1'
Business Phone aR
Describe Work r v ' (/C%
Hoods
Electric Furnace/Duets
Miscellaneous
Fens
Evaporative Cooler
Dryer
Range �
Gas Log ' ',
Gas Water Htr.
Solid Fuel/Wood Stave
Air Handling Units
O-10,000 CFM
10,000 + CFM
501-1, tXlOM
Rq!rlQeratlon Systems(
-teat Pumps (BTU)
1-100M
101.500M
1,00t-1750M
Over 1750M
3-15H P
15-3OH P
30-50H P
50 + H P
Compressor
0.3H P
Gas PIpir
1-5 Outlets
A+ Outlets
Gas Fired Heating System
1-100,000BTU
Q O (7 o
t
1 O.,,,XO + BTU
1 certify that the above Information as: submitted by•me•,Is1rue'and correct and further, agree that all 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 regulating construction or the performance of
construction.
SIGNATURE OF
OWNER OR
r1-159}--
APPLICATION
DATE