1984, 12-14 Permit App: 00003809 Mechanical FixturesZ
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MECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
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1 Owner's Name (Last) (First) (M)
Department Use Only
VALENTINE JIM
Project No.
2 Project Address (Not Mailing Address) Space Zip
North 218 Locust Rd. 99206
3 City/Community
Spokane
I State
Wash./
Subd Io /Plat Name
NJ J-53D,L / > ISS
4 Assessor Parcel No
175111- /11
Lot
(1,710
Block
trey
16 Contractor Firm Name
Anderson's Sheet Metal - Heating & Air Conditioning
Street Address
E.13903 Trent Ave.
17 Zip
99216
City
Spokane
State
Washington
Phone
1 ( 509 ) 928-0960
18 Contact Person
Eric R. Anderson
License No.
ANDERSH213NZ
Phone If different than above
8 Owner/Agent (if different than et above)
Bust ess Address
9 Zip
City
State
Phone
(
15 Describe Work' w
New 0 Addition /Alteration M� Replace/Repair 0
10 Applicant Name
Anderson's Sheet Metal - Heating & Air C9nditinning
Street Address
E., 1"1901 Trent Avenue
11 Zip
99216
City
Spokane
State
Washirvi-�n
Phone
928-0960
1 (
8 VENT Fan(s):
Evap Cooler(s).
1)
Hood (s): Duct(s)1: Miscellaneous:
10 APPLIANCE:
Dryer(s):
Ranges):
Gas Logi!):
-
WoodStovel
Solid Fuel:
I
Rheem 40,000 BTU Gast'
Gas Water Heater(s): n W. Heat
11 UNIT HEATER(S)' Wall Mount: Y N
Floor: Y N
Suspended Y N
12 AIR HANDLING: 10,000CFM or less:
More than 10,000 CFM.
13 REFRIG SYSTEM BTU. 1-100M.
103-500M:
500-1000M;
14 1000-1750M:
Other:
Pressure Vessel (cu. ft.):
15 COMPRESSOR/ HP: Less than 3:
3-15:
15-30:
30-50:
50+'
6Cr
16 GAS PIPING SYSTEM: Number of outlets: 4__ 20' of' 1" Pipe and 101 of 1/2'l Pipe.
17 HEATING SYSTEM. 1-100,000 BTU:ltheem 95,000 BTU fLf9 Furnace.
100,001+BTU.
18 TYPE FUEL SOURCE: Electric 0 ; Gas 1; 011 0 ; Coal 0 ; Wood 0 , Solar ❑
19 TYPE DISTRIBUTION' Forced Alr os.; Radiant 0 ; Heat Pump
1' Number of separate zones for any heating, A/C or air handling system.
2
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 eta-/ ialea-cwt
EriciiR. Anderson, Owner
APPLICATION
DATE 12-14-84
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