HomeMy WebLinkAbout1984, 09-19 Permit App: 00002555 Heat Pump*
County Permit
MECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
1 Owner's Name (Last) (First) (M)
Alkier Ted
Department Use Only
Project No.
2 Project Address (Not Mailing Address) Space Zip
N. 1919 Long
3 City/Community
Spokane
State
WA
Su ion/ Plat Name
feel? ll(ffes Tjf 015 -4
4 Assessor Parcel No.
67 6 16Z
Lot � Block
20
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16 Contractor Firm Name
Sturm Heating
Street Address
E. 204 Indiana
17 Zip
99207
City
Spokane
State
WA
Phone
609 ) 325-4505
18 Contact Person
Diane
License No.
ST -UR -MI -210 -QF
Phone If different than above
same
8 Owner/Agent (If different than M1 above)
same
Business Address
9 Zip
City
State
Phone
( )
15 Describe Work: Install Heat Pump
New XX Addition/Alteration ❑ Replace/Repair 0
10 Applicant Name
Street Address
11 Zip
City
State
Phone
( )
8 VENT: Fan(s):
EvapCooler(s):
Hood(s):
Duct(a)1:
1
Miscellaneous:
10 APPLIANCE:
Dryer(s):
I
Range :
Gas Log(s):
Wood Stove/
Solid Fuel:
Gas Water Heater(s):
11 UNITHEATER(S): Wali Mount: Y N
Floor: Y N
Suspended: Y N
12 AIR HANDLING: 10,000 CFM or less:
More than 10,000 CFM:
13 REFRIGSYSTEM 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:
100,001 + BTU:
18 TYPE FUEL SOURCE: Electric 0 ; Gas 0 ; 011 0 ; Coal 0 ; Wood 0 ; Solar 0
19 TYPE DISTRIBUTION: Forced Air 0 ; Radiant 0 ; Heat PumpCXQ
1* Number of separate zones for any heating, A/C or air handling system.
$20.00
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
,V,4k-4_,.77
DATE APPLICATION 9/9/15/