1985, 05-29 Permit App: 00005746 FurnaceMECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
1 Owner's Name (Last) (First (M)
Department Use Only
Project No.
2 Project Address (Not 2IDAddress) Space Zip
// 9,7 ,,i) 0 co
3 City/Community
State
(..A..) `---
ubdivision/Plat Name
4 Assessor Parl No.51
Lot
I Block
4
16 actor Firm Name
(...C13L.A.,— .....t..).),J+1-11---
St t Address
, • 3 //
17 Zip
City
Statehone
,
---
( ) 7
18 Contact Person
Men No.
Phone f di en than above
8 01,v
/Agent (if different than 1/1 above)
•
Busl
' Address
SC—)%
9 ZipState
Phone
15 Describe ork:
New Addition Alteration
0
ReplacelRepafr 0
10 Applicant Name
i
Street
Address
11 Zip
City
StatePhone
•1-
( )
4
8 VENT: Fan():
Evap Cooler (s):
111.1...........,
Hood e):
Duct(s) 1:
lianeous:
10 APPLIANCE:Wood
Dryer(s):
I Range s):
Gas Log (s):
Stove/
Solid Fuel:
Ge.s Water Heater(s):
• 11 UNIT HEATER(S): Wall Mount: Y N
F : Y N
Suspended: Y N
1
12 AIR HANDLING: 10,000 CFM or less:
More than 10,000 CFM:
)
I
13 REFRIG SYSTEM BTU: 1-100M:
100-500M:
,
500-1000M:
)
14 1000-1750M:
Other:
Pressure Vessel (cu. t.):
15 COMPRESSOR/HP: Less than 3:
3-15:
:
30-50:
50 + :
16 GAS PIPING SYSTEM: Number of outlets:
17 HEATING SYSTEM: 1-100,000 BTU:
100,001 + BTU:
18 TYPE FUEL SOURCE: El t lc Gas 0 ; 011 0 ; Coal 0 ; Wood 0 ; Solar 0
19 TYPE DISTRIBUTION: Forced Alr Radiant 0 ; Heat Pump 0
1* Number of separate zones for any heating, A/C or air handling system.
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. A1DENDORF FURNACE,
kOMSION OF ALLIED HEATING, M.
SIGNATURE OF E. 9311 TRENT AVE. APPLICATION
OWNER OR SPOKANE, WA 99206 DATE - 7-1:5
983-8252