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APPLICATION FOR PERMIT FOR Pe~mit~o. ~( <br /> HEATING <br /> SYSTEMS <br />Number of Stories ~/ F~e for Perraif. ~'d~O <br /> <br /> IInstall without piping Install Complete J I <br /> <br />Location <br /> <br />HEAT L6~S FACTOR8 (For multipUcaiion with areas): <br />CONSTRUCTION BTU pc, Hou~ <br /> Glass and doors .................................................................. 62 <br /> Wall, uninsulated, t~ame, stucco, brick veneer ............................................... 14 <br /> <br /> Cement block, baxe~ 8.in ............................................................ <br /> Cement blocK, g-(n, plastered ........................................................... $1 <br /> Ceiling, frame, uninnxlatcd ............................................................ 20 <br /> Cetling~ frame, insulatud . ........................................................... 5 <br /> Roof, frame, without ceiling .......................................................... <br /> l~Ioors (crawl space) ................................................................ v <br /> Inleakage (per 1000 cub~ £c~t of building volume) ........ ~,~ ...................... ............ 1200 <br /> If other sou~ce of factors sus~d glve~efezencehexe. <br /> <br />Tot01 Sq- Ft. Ma3n Floor Top <br /> <br />Requited BTU for Heat Loss ~,-~ /9/~ ,/~'/'~ ~J~ ~ Installed BTU <br />(Not less than 20% greatu~ th~ total bMg. heat loss) <br /> <br />TYPE OF HEAT: <br />a. Gas b. 011 <br /> <br />¢. Elect. Cable d, Elect- Ba~e B~. <br /> <br />f. Other <br /> <br />e, Elect, Furnace <br /> <br />l agree to install according to above specifications and the Hea0ng Code of MaalCal County, Oregon. <br /> <br />APPLICATION RECEIVE, D APPROVED ~ PERMIT ISSUED <br /> <br /> <br />