1986, 05-06 Permit App: 00010945 Furnace, Water HeaterMECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
•
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 -wner
APPLICATION
DATE Mca 6 • 1986
Project #
Owner's Name Lest First MI
ROE, MICK
Project Address (Street Name & Number
East 10912 Maxwell
City
Spokane,
State
Washington
Subdivision/Plat Name
Assessors Parcel #
Lot
Bieck
Plat
Applicant Anderson's Sheet Metal
Heatinrr & Air Conditinnin
Adders
E. 13903 Trent Ave.
--
City
Spokane
State
Washington
Zip
99216
Phone
1-509-928-0960
Business Phone
1-509-928-0960
contractoranderson's ,meet metal
Heating & Air Conditioning
Address
E. 13903 Trent Ave.
City
Spokane
State
Washington
Zip
99216
Phone
1-509-928-0960
Contact
Eric R. Anderson
License #
AI''TDERSM158NZ
Business Phone
1-509-928-0960
Describe Work
Install Rheem 75,000 BTU 'G' s Furnace, Rheem 40 gal. Gas wa+.
gas
htr &piping.
Fans
Evaporative Cooler
Hoods
Electric Furnace/Ducts
Miscellaneous
Dryer
Range
Gas Log
Gas Wate Mir.
Rheem 40 Gal.
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
Over1750M
Compressor
0-3HP
3-15HP
15-30HP
30-50HP
50+HP
Gas Piping
1-5 Outlets
XX
6 + Outlets
Gas Fired Heating System
1-100,000BTU
Rheem 75,000 ETU Was
100,:.00+BTU
Gas Furnace & Duct. ",1"9.00
Gas Water Heater 6.50
Gas Piping 3.00
Proc. I'ee. 15.00
Tn z�
•
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 -wner
APPLICATION
DATE Mca 6 • 1986