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1987, 07-10 Permit App: 87002117 ACMECHANICAL PERMIT APPLICATION WORKSHEET PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND INCOO 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 DATE PrOfeC' S7— 2/ 17 Owner's Name Last First MI Poston --Ti-mCTAJ-LES j< Project Address (Street Name & Number N. 621 Locust Rd. City Spokane State Wash. SubdivIeloq (Plat Nam VPp �3 sq Assessors Parcel I i75(f3 — 0it/ 2 Lot . Block Plat It Applicant Jim Poston Add esa _ N. 621 Locust Rd. Gty - - Spokane _ State I Zip Wash. 1 99206 Phone - 922-7284 Business Phone • Contractor STURM HEATING, INC. Add en E. 204 Indiana City Spokane State WA - Zlp 99207 Phone 325-4505 Contact Sherry License I STURMI* 210 OF Business Phone 325-4505 Describe work Install Air Conditioning $24.00 Faro Evaporative Cooler Hoods Electric Furnace/Ducts Miscellaneous Dryer Range Gas Log Gas Wate Htr. Solid Fuel/Wood Stove Air Handling Units 0-10,003 CFM - 10,030+CFM Refrigeration Systems/ Heat Pumps (BTU) 1-103M 9.00 101-500M 501-1,O03M 1,001-1750M Over 1750M CompressorO-3HP 3-15HP 15-3OHP 30-5OHP 50+HP Gas Piping 1-5 Outlets 6+ Outlets 7. Gas Fired Healing System 1-103,000BTO 10,,;,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 OWNER OR APPLICATION DATE