1988, 01-15 Permit App: 88000067 Furnace, PipingMECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
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Protects
Owner's Name Last First MI
lea1ke John
project Address (Street Name & Number)
7703 E. Glass
City
Spokane
State
Wa .
Subdlvls on/Plat Name
QRCAD Av/G
Assessors parcel f0405/ / _ r 2 (0Lot
Ll =1.JC
Block
Plat 1
Applicant Address
John Dalke �" 7703 E. Glass
City
Spokane
State
WA.
Zip
99212
Phone
922-7500
Business Phone
Contractor
STURM HEATING, INC.
Address
E. 204 Indiana,
City
Spokane
State
WA -
ZIP
99207
Phone
325-4505
Contact
• Sherry
License M
STURMI* 210 OF
Business Phone
325-4505
Describe Work
Install gas furnace/one
outlet $24.50 .
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
101-500M
501-1,000M
1,001-1750M
Over 1750M
Compressor
0.3HP
3-151-(P
15-30HP
30-50H P
50 + HP
Gas PlpIng
1-5 Outlets
.50
6 + Outlets
Gas Fired Heating System
1-100,0038TU
9.00
10.,•; O0 +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
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