1988, 11-03 Permit App: 88003617 Mechanical Fixturesis-ft
MECHANICAL PERMIT APPLICATION WORKSHEET L S�
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND C` az)
IZ(060 C/O �C /SO
Ei St)
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 �j c: �( ( APPLICATION //+ 3 - j d'
OWNER OR (/ DATE
Project I
Owner's Name last Firs /• MI
( -
Project Address (Street Name & Number
a �„g
State a- _
SulMilelq^ /Plat Name
\v
�IEKADA LE /-1-1-5 I 47-14
Apiessore Parcel
/IIfiii_—ast 1
Lot Block
/ 2 --
Plat I
Applicant
Applicant
Address
City - I State
1
Zip
Phone
_
3uslnoM Phone
Contrt*tAE iIHNISFEKI Hila„
N.1008 RUBY
Address
'City SPCKANE, WA 99202
f5091328-3400
State
Zip
Phone
coved /-)
License
ley rrl- ) J2'L'
Business Phone
Describe Work titqze 7T//!1a& &� / -- a _aSld, o oD /3T�C/�/�C
Fans
Evaporative Cooler
Hoods
Electric Furnace/Ducts
Miscellaneous
Dryer
Range
Gas Lop
Gas Wate Hlr) /
SoIld Fuel/Wood Stove
Air Handling Units
0-10,000 CFM
10,000++ CFM
Refrigeration Systeme/
Heel Pumps (BTU)
1-100M
_.
101-500M
'
501-1,000M
1,001-1750M
Over 1750M
Compressor
0.3HP
3-15HP
15-30HP
30-50HP
50+HP
Gm Piping
1-5 Outlets' a
a+ Outlets
Gas Fired Heating System
1-100,030BTU
ye, D 6 o
10Q.,wo+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 �j c: �( ( APPLICATION //+ 3 - j d'
OWNER OR (/ DATE