1985, 01-09 Permit App: 00003885 Furnace •
• MECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
1 Owner's Name (Last) (First) (M) ll Department Use Only
DERESUN, KENNETH (henneth Seresun Construction) Project No.
2 Project Address(Not Mailing Address) Space Zip
E. 11391 Diana Ct. 99206
3 City/Community State Subdivision/Plat Name
Spokane Washington
4 Assessor Parcel No. Lot Block
3685
16 Contractor Firm Name Street Address
Anderson's Sheet i°fetal - Heating & Air Conditioning E. 13903 Trent Avenue
17 Zip City State Phone
99216 Spokane Washington 1 ( 509 ) 928-0960
18 Contact Person License No. Phone if different than above
Eric R. Anderson ANDERSH213NZ
8 Owner/Agent(if different than#1 above) Business Address
9 Zip City State Phone
( )
15 Describe Work: g7[!1&
New Addition/Alteration ❑ Replace/Repair ❑
10 Applicant Name Street Address
Anderson's Sheet metal - Heating & Air 6onditioning E. 13903 Trent Ave.
11 Zip City State Phone
99216 Spokane Washington 1 ( 509 928-0960
8 VENT: Fan(s): Evap Cooler(s): Hood(s): Duct(s)1: Miscellaneous:
10 APPLIANCE: Wood Stove/
Dryer(s): Range(s): Gas Log(s): Solid Fuel: Gas Water Heater(s):
Z 11 UNIT HEATER(S): Wall Mount: Y N Floor: Y N Suspended: Y N
W
12 AIR HANDLING: 10,000 CFM or less: More than 10,000 CFM:
5
0
W 13 REFRIG SYSTEM BTU: 1-100M: 100-500M: 500-1000M:
O
W 14 1000-1750M: Other: Pressure Vessel(cu.ft.):
a
>I-
O 15 COMPRESSOR/HP: Lessthan3: 3-15: 15-30: 30-50: 50+:
W 16 GAS PIPING SYSTEM:Number of outlets:
c0
O 17 HEATING SYSTEM:1-100,000 BTU: TTP1 Elec. furnace 22.5 KW 100,001+ BTU:
18 TYPE FUEL SOURCE: Electric 11 ; Gas 0 ; Oil 0 ; Coal 0 ; Wood 0 ; Solar 0
19 TYPE DISTRIBUTION: Forced Air gl ; Radiant 0 ; Heat Pump
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.
SIGNATURE OF APPLICATION 1-9-85
OWNER OR .DATE
Owner