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1986, 05-08 Permit App: 00010976 Heat PumpMECHANICAL PERMIT APPLICATION WORKSHEET PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND AsL/ 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 - Br K. Araifiltel APPLICATION DATE May 8, 1986 Project# /Ogle TUU Owner's Name Last First MI BRYAN, BERNICE Project Address (Street Name & Number Bast 14407 Main GJCjf Efo City Spokane State vias'nington Subdivision/Plat Name Assessors Parcel #/- / _t�3 Lot Block PlatM Qr7� -Sheet Applicant Anderson's Metal Heating & Air Conditioning Addess E. 13903 Trent Ave. City Spokane State Washington Zip 99216 Phone 1-509-928=0960 Business Phone Contractor Anderson's Sheet Metal Heating & Air. Conditioning Address E. 13903 Trent Ave. City spokane State Washington Zip 99216 Phone 1-5@9-928=0960 Contact ric R. Anderson License # ANDERSM158NZ Business Phone 1=509-928-0960 Describe Work Remove Existing Heat Pump and Install. Kool Fire 3.5 T H. Pump & Gas pipin Fans Evaporative Cooler Hoods Electric Furnace/ Ducts Miscellaneous Dryer Range Gas Log Gas Water Htr. Solid Fuel/ Wood Stove Air Handling Units 0-10,000CFM 10,000+ CFM Refrigeration Systems/ Heat Pumps (BTU) 1-100M .� Ton �ool Fire 3 �Z 101-500M 501-1,000M 1,001-1750M Over 1750M Compressor 0-3HP 3-15HP 15-30HP 30-50HP 50+HP Gas Piping 1-5 Outlets n 6+ Outlets Gas Fired Heating System 1-100,000BTU 10./0100 +BTU Heat Pump $9.00 Gas Piping 3.00 Proc. Fee 15.00 Total $$ 27.00 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 - Br K. Araifiltel APPLICATION DATE May 8, 1986