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1988, 04-26 Permit App: 88000976 ACMECHANICAL PERMIT APPLICATION WORKSHEET PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND "7 -,—,,- Project # Project Owner's Name Last First MI Morasch Clarence Project Address (Street Name & Number) 3427 S. Glenn, Spokane, Wn. 99206 City Spokane, State Wa. Subdivision/Blatflt Name // � int _��L-rC v ..L,i Lot �j�" Block l it Plat N Assessors Parcel# i7 -" �-i �z(� ` 7 ' G.._— (_ y NNW Applicant 5 Address City I State Zip Phone Business Phone Contractor STURM HEATING, INC. Address E. 204 Indiana City Spokane State Wa. Zip 99207 Phone 325-4505 Contact Sherry License # STURMI * 210 QF Business Phone 325-4505 Describe Work Install Air Conditioner $24.00 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 $9.00 101-500M 501-1,000M 1,001-1750M Over 1750M CcmprEssor 0-3HP 3-15HP 115-30H P 30-50H P 50-i- HP Gas Piping 1-5 Outlets 6+ Outlets Gas Fired Heating System 1-100,000BTU 10v,:.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