1986, 09-15 Permit App: 00013152 FurnaceMECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
I certify that the above Information as submitted by me is true and correct and further, agree that all pro -
'visions of laws and ordinances governing this type of work, Including inspection requirements, will be com-
plied with whether specified herein or not. The granting of a permit does not presume to give authority to
violate or cancel the provisions of any state of local laws regulating construction or the performance of
construction.
SIGNATURE OF
OWNER 0
APPLICATION
.DATE L7//
Project 11
Owner's Name Last First MI
Sedore Bev
Project Address (Street Name & Number)
N. 6603 Washington
City
Spokane
State
Wash.
Subdlvlsion/Plat Name
Assessors Parcel 0
Lot
Block
Plat r
Applicant
Address
Ci'v 1
State
Zip
Phone
Business Phone
• •• Contractor
Air Design
Address
E. 1807 Francis
City
Spokane,
State
Wa.
Zip
99207
Phone
487-4328
Contact
Barbara
License 1
AIRDEI *161 JW
Bualness Phone
Describe Work
Install 105,000 BTU
Gas Furnace $29.00 :
• Fans
Evaporative Cooler
Hoods
Electric Furnace/ Ducts
Miscellaneous
Dryer
Range
Gas Log
Gas Water Hir.
Solid Fust/Wood Stove
Alr Handling Unita
0-10,000 CFM
10,000+ CFM
Refrigeration Systems/
Heat Pumps (BTU)
1-100M
. 101-500M
501-1,000M
1,001-1750M
Over 1750M
1
• Compressor i
0-3HP
3-15HP 115.301•IP
30-50HP .
50+HP
...Gas Piping
1-5 Outlets
x
8+ Outlets
Gas1-100,000BTU
Fired Heating System .
10.,;.'00+ BTU
X
•
I certify that the above Information as submitted by me is true and correct and further, agree that all pro -
'visions of laws and ordinances governing this type of work, Including inspection requirements, will be com-
plied with whether specified herein or not. The granting of a permit does not presume to give authority to
violate or cancel the provisions of any state of local laws regulating construction or the performance of
construction.
SIGNATURE OF
OWNER 0
APPLICATION
.DATE L7//