1986, 07-01 Permit App: 00011925 Heat PumpMECHANICAL 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 OR
APPLICATION
DATE
Project # // c., 5
Owner's Name Last First MI
Jessee Howard
Project Address (Street Name & Number)
S. 3520 Bowdish
CitySpokane
State
WA
Subdivis'
n/ Plat Name
Assessors Parcel #fi — �, 5
35
Lot 5
Block
/
Plat #
Applicant
Howard Jessee
Address
S. 3520 Bawdish
City_
State WA
Zip 99206
Phone 928-6217
Business Phone
Contractor
Sturm Heating, Inc.
Address
E. 204 Indiana
City
Spokane
State
WA
Zip
99207
Phone
325-4505
Contact
Carol
License #
STURMI* 210 QF
Business Phone
Describe Work Install HP 24.00
Fans
Evaporative Cooler
Hoods
Electric Furnace/Ducts
Miscellaneous
Dryer
Range
Gas Log
Gas Water Htr.
Solid Fuel /Wood Stove
Air Handling Units
0-10,000CFM
10,000+ CFM
Refrigeration Systems/
Heat Pumps (BTU)
1-100M
9 .00
101-500M
501-1,000M
1,001-1750M
Over 1750M
Compressor
0-3HP
3-15HP
15-3OHP
30-50HP
50+HP
Gas Piping
1-5 Outlets
6+ Outlets
Gas Fired Heating System
1-100,000BTU,
10,,,,;00 + BTU
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
DATE