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PER.*iIT N0. �� / ���G _ APPL. DATE �j��_ �
�D�SS s� � r ,e�� k���J �
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NA?URE OF WORIC � - • - � � � �
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HEATING CONTRACTOR ��-� o ' � �' � �- �
FUEL: �G'�/ OIL EI.EC. SOLAR SOLID �
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C�NDITIONING ORCED AIR H.W. ELEC. BASE. STEAM �
� SYSTEM RADIANT SLTPPI.. A/C VENT �
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CHI�IEY: � � ��8�� DIRECT VENT CON.BURNER �
CALCULATED HEAT LOSS • � �c" ' r SYSTEM BTII RATING �O��-� p
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INSP. ROUGfi IN FINAL �
� EST. COST�/p� . p�n PERMIT FEES� DATE PD � �P'< �
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