Loading...
HomeMy WebLinkAbout0047855-HVAC (furnace) �� CITY OF HK H N° 47855 OS OS � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS //�� L�L� �� �//� PLAN N0. OWNER �I SC l'/U��- l� DESIGNER USE/NATURE OF WORK ���/ CZL P �!//'`1CCCG�i BUILDING CON7RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR ��-'�1 � �r- �J �J``�L-7 � Heat � A/C ❑ Vent ❑ Fuel/System �--� ° Heat Loss ����5 r BTU'S �`� ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fi�ures Switches Receptacles Circuits PLUMBING CONTRACTOR —BT _WH _Disp _WSoft _CBasin _Lav _Sh _DW _DF _San. Sewer _WC _FDr _SP _Ur —Storm Sewer —Sink —LTub —Eject _SS —Water Other � FEES: Valuation $ J�� ,�� Permit Fee Paid $ �'9 � Park Dedication $ . � ISSUED BY � Date��/����.5 Final/O.P. ���� In the pertormance of this work 1 agree to perform all work pursuant to rules governing the described construction. SIGNATURE �r"�' ` !O ` 9 — AG T/OWNER DATE ADDRESS /� � /���o(��� � TELEPHONE i € € , APPI� DATE y��/��/9,� PERMIT IIO. ��!�� � ADDRESS /I:I�� /�/� / ;�'j �(�'� OWNER �� SG �Z(J/2 � NATURE OF WORK �+�la�-� �vr��i c to HEATING CONTRACTOR r�'`Z �j 1l�- S�G��7 FUEL: � OIL ELEC. SOLAR SOLID CONDITIONING ORCED AIR H.W. ELEC. BASE. STEAM SYSTEPt RADIANT SUPPL. A CHIMNEY: "A" "B" IRECT VENT CON.BURNER � CALC[1LATED HEAT LOSS ��i�� SYSTEM BTU RATING � MISC. � INSP. ROUGH IN FINAL EST. COST�' ``�J ��- j �j" PERMIT FEES �(-/'� [�`fl DATE PD/c>� �1 " REMARKS } � �