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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