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APPLICATION FOR PERMIT FOR Pc~,,,itNo. <br /> HEATING SYSTEMS <br /> <br />Appllcatinn is hereby made to <br /> <br />Location <br /> <br />Number and §tteet <br /> <br />IInstall without piping Install Complete, x <br />Rough in piping __ Replace Repair__ <br /> <br />Iteating system per specifications givcl) below: <br /> <br />Heat~ .................. <br />Contractor ,~,~l~m H*~tlnE & Sheet Metal~ Inc. Ad,ss P,O. Box 426 ................. Phone 5~1-1536 <br /> <br />1, Pc~it sh~l be obtained prior to commencement of inst~atlon. <br /> <br />2. Pc~it sh~l be fez ~1 heating units whkh ~ fte~ siad~ or fk~res of th~ budding. <br /> <br />3. Relocation, Repl~cmcnts, Altcratinns, or ch~s to burners ~d duct wo~k ~qu~ pe~its. <br /> <br />4. Aa work to be eonee~e~ must be inspected ~fo~ cover. <br /> <br />5- AB installations to be done u~der M~on County ~eafing Code ~ Unffo~ Mech~M Code, Vol. II ~970 Edition. <br /> <br />Furnace Manufacturer Name and Model Number of Furnace <br /> <br /> LENNOX I. NOlgS!lHtlg5 INC Lennox GSRQ2-110 Gas Furnace <br />HEAT LOSS FACTORS (Fei multiplication with areas): <br /> <br />CONSTRUCTION BTU per Hour <br /> Glass and doors .................................................................. 62 <br /> Wall, uninsulated, frame, Stucco, brick veneer ................................................. <br /> Wall, insulated, franc, stucco, brick veneer .................................................. 5 <br /> Cement block, bare, S.in .............................................................. 34 <br /> Cement block, 8-in, phstexed .......................................................... <br /> Ceiling, frame, uninmlated ............................................................ 20 <br /> Ceiling, frame, insulated ............................................................. <br /> Roof, frame, without ceiling ............................... ' ............................ 35 <br /> Floors (crawl spa~e) ................................................................ <br /> Inleakage (pe~ 1000 cable feet of building volume) .............................................. 1200 <br /> If other source of fa~tors is used, give reference here. <br /> <br />Total Sq. Ft, Main Floor <br />Requked BTU for Heat Loss ~'~-~,- ~-- ~ ~ <br />(Not Ic$S than 20% gxeatci than ~ bldg. heat lo~) <br /> <br />Top Floor ___ <br />Inatallcd BTU Output <br /> <br />TYPE OF HEAT: <br /> <br />a. Gas ~ b- Oil ¢. Elect. Cable d. Erect. Base gd e. Elect~ Farn~e <br />t', Other FLUB SIZE 23~ x VENT SIZE % x <br /> <br />agree to install according to above specifications and the Heating Code of Mation Courtly, Oregon. <br /> Salem lieating ~ Sheet Hetal <br /> App tie an~ g-~e~' <br /> APPLICATION RECEIVED APPROVED PERMIT ISSUED <br /> <br /> By By <br /> <br /> <br />