1986, 04-03 Permit App: 00010338 Mechanical FixturesMECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
3 y 76 /V'
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
17=` DATE 4-3-86
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Owner's Name Last First MI
WILSON, JESSE
Protect Address (Street Name & Number)
East 8703 Mansfield 99212
City
Spokane
State
Washington
Subdivia on/ Plat Name
OCL €52C,. % s 7
e
Assessors Parcel# s' 6)ze5
Lot 5
Block /
Plat M
Applicant Anderson's Sheet Metal
Heating & Air Conditioning
Address
_ 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
Zi§9216
Phong
1-509-928-0960
Contact
Eric R. Anderson
License #
ANDERSM158NZ
Business Phone
►I 11
Describe Work Remove existing Air Temp Gas Furnace and install a new Rheem
75,000 BTU Has Furnace and a new Rheem 2 1/2 Ton Heat Pump
Fans
Evaporative Cooler
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/
HeatPumps(BTU)
1-100M
Rheem 2 1/2 Ton
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
6+ Outlets
Gas Fired Heating System
G
1-100,000BTU
Rheem 75,000 BTU Gas
10v,,00+BTU
Furnace $9.00
Heat Pump 9.00
Permit Fee 15.00
Total 33.00
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
APPLICATION
17=` DATE 4-3-86
?�.ri n n Pr�'nn _ n1AmPr