1988, 07-21 Permit App: 88002078 Heat PumpMECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
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Doig rtie, se
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
nvvNFR OR
APPLICATION
fl A T
Project,
Owner's Name Last Fins( MI
Si rmans Jjmmy
Project Address (Strout Name & Number)
E. 14321 Cataldo
cuy
Spokane
State
Wa
SubdIvis on/Plat Name
\jts2fiDAL-
i- ri- /
AssessorsParcel l / 5/79--
J
L ,7n — o3 H
Lot .
Biockk Plat,
in
Applicant I Address
Jimmy Sirmans - E.-14321 Cataldo
—.Gty Stale
Spokane 1 Wa.
Zip
99216
Phone
928-7447
Business Phone •
Contractor
STURM HEATING, INC-
Address
E. 204 Tndjana
City
Spokane
State
WA -
Zip
99207
Phone
325-4505
Contact
Sherry
License,
STURMI* 210 QF
Business Phone
325-4505.
Describe Work
. instal1 haat primp
$24.00
Fans
Evaporative Cooler
Hoods
Electric Furnace/Ducts
Miscellaneous
Dryer
Range
Gas Lop
Gas Water Htr.
Solid Fuel/Wood Stove
Air Handling Units
0-10,000 CFM
10,003+CFM
Refrigeration 5y:tenUl
Hutt Pumps (BTU)
1-100M
9.00
101-503M
501-1,000M
1,001-1750M
Over 1750M
- Como -cant I 0-31SP
3-15HP
1530HP
30-50HP i 50+.HP
Gas Piping
1-5 Outlets
6+ Outlets
Gas Fired Heating System
1-1 W,0000TU
10,,.00+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
nvvNFR OR
APPLICATION
fl A T