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� FF'OM : BAF'h•JES PLBr FHCih•JE hJCi. : 5�'? 1��b4 J�_ir-�. t_�E� '����1 1t_�:�1�iM F'�
<br /> . � � �z�4���+b��� Ub/ra6/c)0 11 : 3� �[� �C74��� No:�34
<br /> C'�TY d�'tJRON[U AP�'LICATi(J:N FUR ��_EC�i.�7CAL PFR,`IIT
<br /> �o� bb l.2750 �etl�y P�rkway}
<br /> Cr�stt33 B�y, 1k�.V �332�
<br /> � �
<br /> 3, Yflu may aPP1Y €or tnec:hx�-tiCa: pErt�aits by m�il or in �ersan at thr. Cttv ,nificr,;, ,�pplitiatiorzs will he.
<br /> rCr�iew�d �c� a permii will be "sssuod within 2 working days, �
<br /> 2. Pet'�nit cards will be 5enc by retur�mail afc�t�ccv9�w i� Con�pleted. P�RA�41`I'S AR,� Nc��' V,�l.i�) �!Iv�'1L
<br /> Yc3U ��CE�V�ApER�'�1'F. �ti't��.TNO'i�$E�,iN I;�;T . ��.. ���� r:ARp�PrS�'F'i�(�
<br /> 3. Etitechanic�,j De��ia„G _ �,ompl�te caleulaziaraa, dcGails as:d SpL"Glf)C3f14T�3 are r� �ired f
<br /> q or ��ch hCatui�,
<br /> venrila�ion� �211iI11(�jt"1CatlOh-1�4,rlllllill��P{l�8C1021s f�,nd �ir coilditiUl7kn� i�2St�illa[iC!n inclUdil7� ?"leat lussihear gnin
<br /> C�1G�Ea[i0n, d�sign camperat��rc�, ec{uipmea� r�r'tn�s a��d ide��citicati��n as tr� r�,pe, tnar,�rfmctueer and rn�ti�lrl.
<br /> t)ata shal! be presrn�ed on form prc�vic�cd. Td�nci�cati��a c�f and spGcifia�,�iona 2'ur w�ac�:r h�c��i.,� equiprzaeryc
<br /> sha(1 sJso be prs�vid�Q,
<br /> �. Wher� any new constr'uctitan�r rzt�o��tin� is invoive4, � se�arat� buifdus� pzrrtYir must !?e o�tsined.
<br /> �S• AlI wark masr bn don�in accardance wich tb�Unifarm Mechanic�l God�isiace Bt.iIding Co�Je �equxre�ncnt��.
<br /> ti. Atf worEc must be inspCeted �rc+u�t�.,in and finai), Cn.11 249-=if,it�p 24-t7our notice r�quired.
<br /> 7, !-I�use Hcarsn� 'Cest Record sr�ust be suhraitced l�Pora �n.aE.
<br /> �,� ruatlons Casnplece $11 3t�rns pn this applicr��ian. Computc rh� perm.is fce. 5!�n arld d3te th� ccrtitic<,[iun.
<br /> i�vCQM:PL�TE A�PLICA"f;pNS WTLL Nc�r S� pttOC:�SSEta. If ycau hav�; yuestians, c�,tl 2�i9-�b4i),
<br /> �,
<br /> i�lcase �tr�ck ota�: �k�� �,.�d�iiion itz�,air � � R�placc
<br /> �'Residentiai Corrim�rcial
<br /> xob Sk'S'E:�l-j��C�4��`�' ��c.' � �,ip: �
<br /> Qwner's ti'�rn� �._,.._.� _..— ��—..�—._
<br /> ���s��.... _ �_•,.. T�lephor�e 1Vumber: ���a 2� _,_
<br /> hiailing �ddress: .I }�2.�Gi�Y� , �ip: .�..�.�.,.`
<br /> Cui�traCtor's Name:��.-.;���.�(� .�.�.J�.�_Te�eph �Ivum�er: � -
<br /> h�iall�ng Address:�.���.�. ��`�.5_��,..._1_I.µ7 Z
<br /> � ��_�Jcy rr,�1s .....zi��,.��,2�.__�
<br /> �
<br /> ,�i'EATII�G SYSTEMS
<br /> Quantity:
<br /> Make: .� .-.----..` —.. ____�_�
<br /> M�aGt: --�-- -- �.. - ..._.. �._ .._.--
<br /> �����: --- - �.._�___�, .� _ ____ -�..�.. _
<br /> Flue Size: " - --- �.,���,....._�,.. ._..._ .....---
<br /> ��
<br /> ]nput BTLTs; --_.^ , ..._._. - - - _�.... _ ..�_ �...�.._.—_...
<br /> OuipuY ST'L.ts: — �—�---�-_.---. .�--�--_�..,�
<br /> C�M: "� - --�- .��...Y..T _..�._.�..._� —_..,__�._--�----�
<br /> �aaz�r�� sXs�r�.�s
<br /> Quant►ty:
<br /> ►4�akc; ��... - , �,..._._. ..�._.... __.,.__^.�...._.�.,,,,,..
<br /> Model: " —�_ ..��.__ --- —�. _
<br /> Tons: — , ,,.. - _�_._� ,_.._�_.�.. _.....__----- ----, ---M...--
<br /> H, Pc�wcr �---.,.�.�.�,.._.�_ —...__....,�__._._.... �. ._.._ .....� _^_
<br />
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