1986, 10-17 Permit App: 00013746 Mechanical FixturesMECHANICAL 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, wilt 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 6
Project N ' I .� `ie
;,1
Owner's Name r Last - First MI
Project Address (Street Name & Number),
Cityxc/��r ci
State `„
Zeti' • .
Subdivision/ Plat Name
1�
�o �Okld OW/USiT�
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Assessors ParcelN / 1/0
Lot
Block
Plat M
Applicant
Address
City
State
Zip
Phone
Business Phone
ccIrirtAT TRANSFER, INC
N
Address
1008 RUDY
City SPOKANE, WA 99202
'S091 128 2enp
State
Zip
Phone
Contact
0_1.P--/?,
License #
/=T%/— / g (S' /- /`/
Business Phone
Describe Wor / 61 0
Fans
Evaporative Cooler ;
Hoods
Electric Furna�ADucts
Miscellaneous
Dryer
Range
Gas Log
Gas Water Htr. /
Solid Fuel /Wood Stove
Air Handling Units
0-10,000 CFM
10,000+ CFM
Refrigeration Systems/
Heat Pumps (BTU)
1-100M
101-500M
501-1,000M
1,001-1750M
Over 1750M
Compressor
0-3HP
3-15HP
15-30H P
30-50H P
50 + HP
Gas Piping
1-5 Outlets
6+ Outlets
Gas Fired Heating System
1-100,000BTU
e, J C ,- (9
10v, J00 + BTU
s}
'-
jam .,.�
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, wilt 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 6