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<br /> crrYOFORorro ,�.rc�,�ov�oR�cgalv�cAt,r�nrr
<br /> �c 66 (2?50�elley Parkway) � �
<br /> . c��y, Mav ss.�� . � �75�
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<br /> GI�NFRAL II�TFORMATION . . • .
<br /> i. You maY app1Y fiox mecbaa�cal pexm�ts by mail or i�a person a[ che Ciry offices. Applicatioa9 will be
<br /> reviaaed and a peimit will be iss�ed withi�a 2 wacking'days. ,
<br /> 2. Permie cards w�l be seat by return mait after a revlew is cvm�leoe� PERMITS ARE NOT VALID UNTII,
<br /> YOU RECEIVE A PERNQT. WORK MUS'P Ndf BBGIN UN1B,_IHE�ERMIT_CARD IS POSTEb ON
<br /> , 'IHE JOB S1TE.
<br /> 3. Mechamcal D - Complete calcttIations, daa�ss and spxjficatiu� are required for each'heating,
<br /> v�tilation,hum�dlfication-deh�midific�rioa,s�ud air c.oadiaoning installarioa includ�ag haat loss/heat gaui
<br /> . cal�ilar3na, design�. equiPment ratiqgs and id��.as en�rype.'man�er a�model.
<br /> Data sl�all be pre�ed on fiorm pm�vided.. Ydead6cadan of a�d spec�ficadons foz water beal�ag�ent '
<br /> sba]1 also be pmvided. � � • • ' � ' ' . �
<br /> 4_ R:�ca s�y new c�cdon or remodel�ag is iavolved. a sepuaoe bu�ldmg Permic mn�t bc obtaiaed.
<br /> 5. ,All work must be done ia accordanoe wlth fhe Unifo�m Mecbsnical Code/Srate B�ilding Co&requmrenne�is. .-
<br /> 6. . . All wozk miust be insp�ad(roof,h ia and�mal).•'f,a11249-0G00: 24hour.aotioe reqni�ed. : . : , . •
<br /> 7. . Hous�'Heatmg Te�c•Re�ord m�st be submit�S befoi�e•�aal: • . • . '.- . � . .' •. • • "
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<br /> , • . . • • . • . • .
<br /> �nstivctions�'Cam�plete all;tcros on'this appli�fuon.••,Compate'the pecmnic fee_ Si��and date�the�:
<br /> ' iNCOMPLE!'6 AYPLICATIQNS WII.1.NOT BB PROCE53B�.'If yaa have qaesttoas, ca11249-dG00: �' •
<br /> Please che�k one: �New • •' 'Addition � • • • �Repair � ' Replace ' ' . , • • - •
<br /> . _ .. •: •: �, .
<br /> •. . �tesidr,atiel ' Comu�ezaal='•: °•'�:..• ' '• ' •
<br /> � � '--�. _ _._ , . . , , • . . . • .
<br /> . JOBS�;TE�..�'�5�7�✓.��= � �N. 'G�r3`�i�!• =��:.�� i ,� � � .Zi�p: ' � • _ . ' . .
<br /> � Owner's Name:� � 'C.�s S'�' � ���'��' .�Tele�hone l�umber: � � � . � .
<br /> � Mailing�Address: . . . .•, . � � =•_'• � (�ty:':=:� - �.,��. 7,�p:,�... � � " . �.
<br /> � �'��'s.Nanie: ''y � � � oneNmnbecr:���.�:���,i�S�f�� 3
<br /> ' • .MaiHng Addt+ees:/�g�'./�Fy�f v���t'/`st�':, •(�ty:� �' � J�7�p: '��.Tl�/ ' ,� '
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<br /> . �EATIl�?G.S'YSTEMS � � � - . � . �-. :� . : . . � " .. . .
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<br /> £vel: � � . � � � � � . � • ' . -
<br /> Flue Size: . . . '
<br /> Input BTUs_ � � . . . � � .
<br /> Output B1'Us: . �
<br /> . . -' �!ak+.+•'�•'..: : _, ; ••;'� "'•��':„•' • ' .. . . . }�• �•+;••' :Nr�:•.y•;pi: •:� � ' � i N•' ;.l. :.r...., i . :' ' • ':
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<br /> LOOI_�IrtT•S11JaJii�iS � � • � " � .. . ;. . •�'�'::w:::':i�'��.� . ' ' �. , .. . , ��.�Y:�+:i° • . . .
<br /> Q��Y-
<br /> Make: .
<br /> Model:
<br /> Toris: _ � . � .
<br /> H_ Power
<br /> 900 C�j 1i'Iddf15 5�I�Q'IIRg 52I�f19 L�80C55C9L %�3 �b�Oi TO/LZ/Zi
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