1986, 11-17 Permit App: 00014247 Vents, MECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM `MISUNDERSTAND
135X89
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N.
Project a .. /2 /./2. L /
!
Owner's Name � LastFirst
410y �. A P
Project Address (Street Name & Number)
E. /330' £7fL2,0
City
. 0
State
644', 49,4
Sutd Ion/Plat Name
Tuella is VALLsy Vtc--w `
Assessors Parcel e / 551/1— _ 45,61
Lot i
Block 1
Plat I
ApplltanlNu
_ _ ...
IN -GAS INC.
Address
E.345 3rd AVE.
City
Spniknnp
State
WA
Zip
99202
Phone
. 438-3600
.. _ .
Business Pion
83R-3Ann
Contracts
IN -GAS IN.
INF.
Address
E 34 5(1
5 3
City
Snkane W
ZIP
992112
Phone
R3R`-3MIR
Contact
DAV TD��/tSET SSRNS
Lloi, 17 ..
TNGAST*145RW
Btalnen PItoM
A3R-3Fflf1
[Waite Work
Vev77 VG op (.3) Su.tt'EA/AEU 441-T. .09-5 OA. rr ft ,E5 e
Fans
Evaporative Cooler _
Floods
EleElectricuasW
Furrlcts ,_ __
MlsoellaaarnGG--__
i v
Dryer
Rug} _
Gas Lop
G S Water Hir. , .. _ _ _
8x110 Fuell Wood Stove
Air Handling Units
CFM. ..
.10,000+
.10,000+ CFM. . .. .
Refrigeration Systems/
Heat Pumps (BTU)
1-100M
101500M . .
501-1,00M.4
1,001.1750M __.. , . _ __. .. ._
Over 1750M ... .............. .... .... _ . _ ... _ .. ... _ _ -
compressorOa//P
. .. _.. ...
_3-15HP. _
15JOFIP „ _ _ _
3 -50HP ,,,_ _
50+HP
Gae Piping
1S Outlets .
S+ Outlets
Gas Fired Heating System
1400,000BTU ..
10,.,;pW+BTU .
19-sw
= fs=;4
D.
I certify that the above Information as submitted by me is true and correct and f urther, agree that all pro-
visions of laws and ordinances governing this type of work, including Inspection requirements, will be com-
piled 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/ U /Xci/%
OWNER OR C�
APPLICATION //._._/ 7C�
DATE O