1987, 04-29 Permit App: 87001161 Heat Pumpar /
MECHANICAL 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
'le" S-7-- 11101
Owner's Name lest First MI
Boeck Lyle D
Project Address (Street Name & Number)
S. 1419 Century
City
Spokane
State
Wash.
Subd n/Plat Name .
bied L AL#L4) . Wit
Assessors Parcel N
235 lI P J 31o'L.
Lot
Z
Block
acn
!—
plat
Applicant
Lyle Boeck
Address
S. 1419 Century
City
Spokane
State
• Wash.
Zip
99206
Phone
927-0610
Business Phone
Contractor
STURM•HEATING, INC.
Address
E. 204 Indiana
City •
Spokane
State -
WA
Zip
• 99207
Phone
• 325-4505
Contact
Sherry
Licensee -
STURMI* 210 QF
Business Phone
325.-4505.
-•
Describe Work
Install Heat pump $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 ACM
1,001-1750M
Over 1750M
Compressor
0-3HP
3315HP
15-30HP
30-50HP
504- HP
Gas Piping
1-5 Outlets
6+ Outlets
Gas Fired Heating System
1-100,000BTU
106,000+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