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HomeMy WebLinkAbout1985, 07-09 Permit App: 00006282 Fireplacew F - z w 2 a 5 v w LL O w 1- 0 z cr w m z MECHANICAL PERMIT APPLICATION WORKSHEET PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND 1 Owner's Name t) (First) `� `M) Department Use Only .�n(L / �. Project No. 2 Project Address (No Mailin ddress) Spa Zip 3 City/Coq(imunity 0-1,14,0-1,14,✓/ State�� .61 Lp , Subdivision/Plat Name &L NIUQL\VU� s4A-a4 4 Assessor Parcel No. 54 3 —022 t Lot 4 Block I . s.„ ....., (ascus) 16 Contractor irm Nam�t# n I7 C' _7;4 T3�j C Street Address kV oo 17 Zip qq 20 I City S State / WA/ Phone (YoY) 325 — 951? 18 Contact Person 1 License No. 4 ve /marl oof a yei- I8' WWOC.L /77/(A9 Phone If different than above 8 Owner/Agent dif ent than #1 above) Business Address 9 Zip City State Phone _ ( ) ` 24-038%/ 15 Describe Work: New X. Addition/Alteration 0 Replace/Repair 0 10 Applicant Name Sdc4fte «.trew,ff#e Street Address 11 Zip City State Phone ( ) 8 VENT: Fan(s): Ye; Evap Cooler(s): Hood(s): Duct(s)1: Miscellaneous: 10 APPLIANCE: Dryer(s): I Range s): Gas Log(s): Wood Stove/ jitter Solid Fuel: Rser / tC Gas Water Heater(s): 11 UNITHEATER(S): Wall Mount: Y N Floor: Y N Suspended: Y N 12 AIR HANDLING: 10,000 CFM or less: X More than 10,000 CFM: 13 REFRIG SYSTEM BTU: 1-100M: 100-500M: 500-1000M: 14 1000-1750M: Other: Pressure Vessel (cu. ft.): 15 COMPRESSOR/HP: Lessthan3: 3-15: 15-30: 30-50: 50+: 16 GAS PIPING SYSTEM: Number of outlets: 17 HEATING SYSTEM: 1-100,000 BTU: x 100,001 + BTU: 18 TYPE FUEL SOURCE: Electric 0 ; Gas 0 ; Oil 0 ; Coal 0 ; Wood jk.; Solar 0 19 TYPE DISTRIBUTION: Forced Air ,*; Radiant 0 ; Heat Pump 1* Number of separate zones for any heating, A/C or air handling system. :Xe.). ©d 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 0 OWNER OR APPLICATION DATE