HomeMy WebLinkAboutMECHANICAL APPLICATIPON - 08-00111 - 2861 W 5200 S - Mechanical1 h.- I I'!II plele rhe eii6t'u A(lj _k',ICioll? 'Urh_- tilliii k. ful,Aurl
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PROPEADDRESS Permit#
SUBDIVISION
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MECHANICAL
Mechanical Contractor's Name: �Y,_KAC -Business Name: .l_l)idpb
Address iL City 1" State_ w Zip K2 W
Contact Phone: (�) Co Business Phone: (aZ g)
Mechanical Estimate $ (Commercial/Multi Family Only)
FIXTURES & APPLLINCES COUNT (Single Family Dwell, g Only)
Furnace 7 Exhaust or Vent Ducts
Furnace/Air Conditioner Combo
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
Decorative gas-fired appliance
Incinerator System
Boiler
Pool Heater
Similar fixtures or Appliances
Fuel Gas Pipe Outlets including stubbed in or future outlets
Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply) Gas Oil Coal Fireplace Electric
Dryer Vents
Range Hood Vents
Cook Stove Vents
Bath Fan Vents
other similar vents & ducts:
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
5i.natur� uF Licensed ('outr:�ctor Licans: �n�u' er Date
Rerpiirn�ii
IThe City ofRewburg's permit fee schedule is the same as required by the State of/daho