ࡱ> ~} @ bjbjVV fhr<r<   F2F2F28~2<2 P233L444666+P-P-P-P-P-P-P$QR0TxQP 9:55"9:9:QP 44fP<<<9:: 4 4+P<9:+P<<H0 6 JwJ43 @4gF2s:^I"K|P0PIT:TDwJ wJT J 67<7H8666QPQP dB% <" B%HVAC CONSTRUCTION PERMIT APPLICATION: COMMERCIAL BUILDINGS It is expressly understood and the applicant states that this installation will be in strict compliance to the Uniform State Building Code and the Uniform State Residential Building Code. Location:_______________________________________________________________________________________ Address Owners Name ________________________________Address___________________________________________ CHECK EACH BOX THAT APPLIES: New Construction Replacement Unit Number of Units (For HVAC Fee Schedule See Form 352a) Project Cost _____________________Permit Fee_________________ Amount in Dollars System 1System 2System 31Square Footage2Portion of structure (ex 1st floor)3Summer / Winter Design Temp4Cooling Load (Manual J)5Heating Load (Manual J)6A/C (Ton & Seer)7Heat (Type, BTUh, % Efficiency)8Combustion Air (size & source)9Exhaust Systems__________________________________________________________________________________________________________________________________(I.E. Range hood, Lab hood, Paint Booth) (#, size, material, discharge location) *Provide computer generated Manual J Summary for each system.*If Kentucky Stamped Mechanical plans and Manual J are submitted you may omit filling out redundant information.*Add additional sheets for more than 3 total systems. All underground/underslab installations shall be inspected prior to covering.The OMPC is issuing this HVAC construction permit upon your request in accordance with KRS 198B.6671 and 815 KAR 8:070. You, the undersigned, are fully aware that you are responsible for this installation in its entirety through completion. It is your responsibility to notify, request and obtain all required inspections. If for any reason you fail to complete this installation, it will be your responsibility to notify the OMPC immediately. 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