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� RPPLICATIOid POR I41SC11ANiCAT, ni3RI�i7T <br /> (^o be filled in completely by applicant_) <br /> ClnbiE (lnmer) Fcider C. Rasmussen ' PHONE NUI4L'rR 252 �060 <br /> COI7TRACTOR Natural Gas Equipment Co. , Inc. PIiONE NUMIIER 258 2441 <br /> iIDDRESS 1611 East Grand LICENSE NU[•7BER 397 <br /> ^0 DO WORK AT THI: F07.i3OS41NG ADDRESS <br /> 2632 Rucker Avenue <br /> USF. OF I3UILL'ING ❑NEF7 ❑ ADDITION ❑ ALTEI2ATION � REPAZi: <br /> i)BSCRIIIE �90RK Replaced gas water heater <br /> �IG.yED RY . DATE 3-18-78 <br /> P-ERMIT FEES <br /> ]1PCI�NZCRL (x] id,�T. GAS ❑OIL ❑LPG. ❑ELEC. <br /> N0. 1`YPE OF EQUIPM$NT FEE <br /> AIR CONll. UNITS - H.P. Ea , $ � <br /> REFRIG_^,RATIOi7 UNITS - H,P, rg I <br /> DOIL'r,'RS - H.P. Ea. I <br /> I GAS PZRED A:C. UNITS - TOtvNAGE I <br /> IFORCED AIR SYSTEi•±S - II.T.U. hl. Ea . I <br /> I GRI�VZTY SYSTEtdS - B.T.U. M. Ea. I <br /> I_ FLOOR I'URi1ACES - II.T.U. rt. _ � <br /> i9nLL HE��TERS - D.T.U. M, I <br /> I�- � <br /> UNIT ti1;ATERS - B.T.U. pi, I <br /> IEVAPORIITIVE COOLERS <br /> � CLOTIiES DRYER <br /> VENTILATION FAN I <br /> �_ RANGE IIOOD I <br /> —_� <br /> �_ AIR HRNDLING UNIT C.Z�'.Di. <br /> WhTER i3EATER & VENT 2 00 <br /> I GAS P,T.PINC ' <br /> I_ TANKS ' <br /> � <br /> i___ <br /> � - SUI3 TOTAL $ 2 00 <br /> jP�RMIT FEE 3 00 <br /> TOTAL FEE 5 00 <br /> ?�PPI20VP.0 ]lY_ -- � � I7A'.C7: <br />