1986, 11-25 Permit App: 00014352 FurnaceMECHANICAL 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
APPLICATION
OWNER OR DATE 11/25/86
Project # J 52.
Owner's Name Last First MI
GIRARD TOM
Project Address (Street Name & Number)
NORTH 2220 Girar
City
Spokane
State
Wash. 99212
Subdiviision/Plat Name
d01ZE--7-S
Assessors Parcel # 12-53V-- 27eC
Lot
Block /
Plat
Applicant
Address
City
State
Zip
Phone
Business Phone
Contractor
POWERS, INCORPORATED
Address
E. 6507 MALLON AVENUE
City
Spokane
State
Wash.
Zip
99212
Phone
535-7714
Contact
Larry Powers.
License #
PO -WE -R 343ME
Business Phone
535-7714
Describe Work
Chan
e out aas furnace
Fans
Evaporative Cooler
Hoods
Electric Furnace/ Ducts
Miscellaneous
Dryer
Range
Gas Log
Gas Water Htr.
Solid Fuel/Wood Stove
Air Handling Units
0-10,000 CFM
10,000+ CFM
Refrigeration Systems/
Heat 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
Gas Piping
1-5 Outlets
one
6+ Outlets
Gas Fired Heating System X
1-100,000BTU
104,0;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
APPLICATION
OWNER OR DATE 11/25/86