1986, 11-19 Permit App: 00014278 FuranceMECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
GIC
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
Project# 6/12:79
Owner's Name Last First MI
Bowman Bob 14
Project Address (Street Name & Number)
E. 15105 MAl1en 410 3 '7
City
Veradale
State
WA
SubdIvisl nl lat Name
VC -RA -pat Lc-- 4"
Assessors Parcel # q! , _'`U 3
itt5w.
Lot ,
Block
Plat #
Applicant
Bob Bowman
Address
E. 15105 MAlleii)
City
Veradale
State
WA
Zip
99037
Phone
924-4152
Business Phone
Contractor
Sturm Heating, Inc.
Address
E. 204 Indiana
City
Spokane
State
WA
Zip
99207
Phone
325-4505
Contact
Carol
License #
STURMI* 210 QF
Business Phone
Describe Work
Gas Furnace $24.00
Fans
Evaporative Cooler
t
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
101-500M
501-1,000M
1,001-1750M
Over 1750M
Compressor
0-3HP
3-15HP
15-30HP
30-50H P
50 + HP
Gas Piping
1-5 Outlets
6+ Outlets
Gas Fired Heating System
1-100,000BTU
9.00
10u,, 00+ BTU
01
« 1 AO
.-1
A
_.• —. i.: -....1\i-_
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