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W. K, Graber, Bldg. AelmMistrator <br /> <br /> APPLICATION FOR PERMIT FOR <br />Occupancy <br /> Permit No <br /> HEATING SYSTEMS <br />Number o~ Stonc~ <br /> <br /> without <br /> piping <br /> Install <br /> Comple~ <br /> <br />Location <br />Number ~d Street Ro~e [ ~X 446~ AumsTillo <br /> <br />Ownc~ Robert Doer fler Add~ess <br />Heating <br />Con~actut $~M ~TING & S~T ~T~ INC Addzess ~ Phone <br /> <br />1, Permit shMl be obtained {)riot to commencement of inst~lation. <br />2 Permit ~1 be for all hcatlug units which ~e t~ee standMg or f~res ol ~e budding. <br /> <br />~NNOX INDUStRiES <br /> <br />itEAT ~'8~i'""~cr{~l{'g'(Fo/ multiplication with alea~): <br /> <br />Name and Model Number of Furnace <br /> <br />__~ennox Oll-168-~ton 0tl <br /> <br />CONSTRUCTION BTU per Hour <br /> Glass and door~, ............................................................. 62 <br /> Wall, urdnsulated, fzame, stucco, brick veneer ................................................... 14 <br /> Wall, inmlatcd, fzamc, stucco, brick venee~ 5 <br /> Cement block, ba~e, 8-in 34 <br /> Cement block, S-in, plastered 31 <br /> Ceiling, frame, uninsulated 20 <br /> Ceiling, frame, insulated 5 <br /> Roof~ flame, without eeillng 33 <br /> Floors (crawl space) ............................................................... 9 <br /> lnleckage f~*er 1000 cubic feet of budding volume) 1200 <br /> If other source of factors is used, give refe~nce here. <br /> <br />Total Sq, Et.__ Main Flooz <br /> <br />Requizcd BTU for Heat Loss <br /> <br />(Not loss than 20% g~eater than total bldg. heat loss) <br /> <br />Top Floor <br /> <br />Installed BTU Output <br /> <br />TYPE OF HEAT: <br />a,, Gas b. Oil ~ <br /> <br />f,, Other <br /> <br />c Elect Cable d Elect Ease Ed ..... e,, Elect Furnace <br />FLUE SIZE, x VENT SIZE x <br /> <br />I agree to install ~o~ding to above specifteatinns and the Heating Code of Mm'ion County, O~gon. <br /> <br />APPLICATION RECEIVED <br /> <br />Date <br /> <br />APPROVED <br /> <br />By <br /> <br />Date <br /> <br />UED <br /> <br /> <br />