1986, 11-03 Permit App: 00014050 Mechanical FixturesMECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOUUN ER TAND
II)
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_ 11-5-86
4
1,r1c -"` Anderson.
M.o
Project #
Owner's Name Last First
MI
,RS CONSTFUCTION
- SMITH H0M[j0S
Project Address (Street Name & Number)
S. 231.1 Davis
City
State
Subdivision/Plat Name
Spokane
ashington
Assessors Parcel#
Lot
Block _7Plat
#
Applicant il�nderson s Sheet Metal -Ht�7 .
& A.C.
Address
. 17,903 Trent
I:. 1.3903 TrentAve.
City
State
ip
Phone
Spokane
lWashaington
T
99216
--'09-928-0960
Business
Phone
It tt
Contractor Anderson's Sheet Metal
Address
Hea.ti.n_ & n'
13903 TrentAve.
City
Spokane
Stashington
p
'99216
Phone
1-509-9.2.8-0960
Contact
?ric R. Anderson
License #
ANDrjRSM158NL
Business
Phone
tl
Describe Work Install Carrier Gas Furnace, 95,000
Ioyt Gas Water Heater, &Gas
BTU and Duct work, a 40 Gal.
ri jrAnjc, .
Fans
Evaporative Cooler
Hoods
Electric Furnace/ Ducts
Miscellaneous
Dryer
Range
Gas Log
Gas Water Htr.
Solid Fuel/ Wood Stove
1 oy 4.
Air Handling Units
0-10,000CFM
10,000+ CFM
Refrigeration Systems/
1-100M
101-500M
501-11000M
Heat Pumps (BTU)
1,001-1750M
Over 1750M
Compressor
0-3HP
3-15HP
15 30HP
30-50HP T
O+HP
Gas Piping
1-5 Outlets
6+ Outlets
Gas Fired Heating System
;1-100,000 Tu
,? rr i. e r Gas
Furna. e e , 9 5 ,
10.,.00+BTU
() BTU
4
Gas Furnace and Duct. 9.00
Hoyt 40 Ga.l. Gas '.^later Htr. 6.50
Gas I1i.1i.n_ Outlets
__..
Proc . Fee. 15.00
)tal 33.50
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_ 11-5-86
4
1,r1c -"` Anderson.
M.o