1995, 05-01 Permit App: 95002719 Gas Log Patio FireSPOKANE COUNTY
APPLICATION FOR GAS APPLIANCE & EQUIPMENT APPROVAL
(trot approved or listed by the AMERICAN GAS ASSOCIATION)
tddress: E / /2 /S AG-AL/
Appliance: PA77c /= /E
owner: /2.- Nti/Ey
Date:
.Pc), AA-/E
99Z
19 W Project No.
All gas appliancea and accessories installed for domestic or
commercial use shall comply- with, and be of a design and
.construction compatible with, applicable "American Standard
Approval, Listing . Installation requirements. for gas appliances
and accessories overing safe operati on, substantial and durable
construction, acceptable performance, and installation," of the
American Standards Association, Inc., and as hereafter amended:
provided; however, listed accessories and controls on industrial and
other specialized appliances and equipment not included in the above
requirements of the American Standards Association, Incl., may be
installed upon approval by the authority having jurisdiction. Each
appliance shall be marked or labeled with a Td1.stinctive trademark or
name as means of identification showing the rated heat input in
B.T.U. per hour. In no case shall an appliance be fired or adjusted
to pass a greater amount of gas than rated capacity.
The undersigned hereby requests that an inspection be made for the
following equipment as described below: /
1. Name of appliance or accessory P/77c F /45- Model No. PF -z''7
2. Trade name /A177() - New or Used / E )
3. Type of burner or appliance • / /Z" 6,4g- E3e4 ekl L-
t.. Construction of heating element �7Z'
5. Name and address of manufacturer CAS L b /Ah9LGS7e/E_S
�3 //S - /772 /, 2pA.t714)4c/ sr Pc T- C U%TC..4f -/ .86 6'aC 2A
6. Type of fuel recommended for burner NAT• t •
7. Length of time burner has been on market
8. Please enclose complete installation and operating instructions.
9. Furnish engineering data, descriptive material showing construction
details including controls and wiring diagram. A1-E13 34 ►314(7- rj
10. Attach blueprint of assembly drawing showing construction of device '4- 277- -15
indicating gas and air passages and control layout.
11. Maximum burner rating, manufacturer's recommended manifold pressure
and orifice size L4We °CX." k7S114 i S. S " wC 2 -`I
12. Vent requirements and recommendations by the manufacturers
13. Type of vent required: (A, B, or C) —'
14. Stack temperature at maximum firing rate
15. Recommended clearance to combustible material, including combustible
floor mounting
16. Remarks or description 3 Lt NLl2_ picC CS e_
P�'C42 1- btu• 1 �t� h )F
Application filed by L10-I ch0cAcTS
Address 1225 E • 712G/01
Telephone 509— S &G-- g-3(- I
APPROVED: Date
;(Inspector)
Date
(Washington Water Power)
Spokane County Department of Building & Safety
West 1303 Broadway Avenue
Spokane, Washington 99260
(509) 456 -3675