1988, 08-31 Permit App: 88002585 Mechanical FixturesMECHANICAL PERIVIJ,T APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
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Project I
Owneea Name
Last
Pederson
Project Address (Street Name & Number)
E. 8408 Boone
Prat
1JArz--ED
MI
Oocrtbe Work
Install gas furnace/one outlet/HWT
$33.00
Fans
Evaporative Cooler
Hoods
Electric Furnace/Ciucts
Miscellaneous
Dryer
nee
Gas Log
Gas Water Htr.
6 .50
Id Fuel/Wood Stove .
Atr Handling Units
O000CF
o�o+ CFM
FlerrIperation Syste
Heal Pumps (ERY)
1-100M
101- M
1 .001-1750M
Over 1150M
O-3HP
Compressor
5HP
5-301-(P 30-50HP
50 + HP
Gas Piping
1-5 Outlets
.50
6+ Ou
Gas Fired Heating System
1- 00.003BTU
10,,C00+6TU
11.00
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 OR
APPLICATION
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City StatSubdIvis
S . ok Wa.
on/ Ptat Name •
iil)Sat.)?---S
Asseasors Parall 8 i e. 5 i/ / eq21/
-
t .6IOMatt
•
Applicant
Mr. Pederson
Addret 8408 Boone
at);
spok
State
We.
-
Zip
99212
Phone
926-9993
.
Phone
. .
Contractor
STURM HEATING, INC.
Address
E. 204 Indian
ChY
Spokane
' Sherry
state
WA
ceBuIncss
•
-
STURMI*
Zip
•99207
210 •F
Phone
4 1
Phone
325.-4505.
Oocrtbe Work
Install gas furnace/one outlet/HWT
$33.00
Fans
Evaporative Cooler
Hoods
Electric Furnace/Ciucts
Miscellaneous
Dryer
nee
Gas Log
Gas Water Htr.
6 .50
Id Fuel/Wood Stove .
Atr Handling Units
O000CF
o�o+ CFM
FlerrIperation Syste
Heal Pumps (ERY)
1-100M
101- M
1 .001-1750M
Over 1150M
O-3HP
Compressor
5HP
5-301-(P 30-50HP
50 + HP
Gas Piping
1-5 Outlets
.50
6+ Ou
Gas Fired Heating System
1- 00.003BTU
10,,C00+6TU
11.00
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 OR
APPLICATION
..•"•41^