1984, 12-26 Permit App: 00003811 Furnace*
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MECHANICAL PERMIT APPLICATION WORKSHEET ,62e.00
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
1 Owner's Name (Last) (First) (M)
KEN SENESUN CONSTRUCTION
Department Use Only
Project No.
2 Project Address (Not Mailing Address) Space Zip
S. 3317 Melissa (Midilore area - near 32nd. & Pines) 99206
3 City/Community
Spokane
State
Washington
Subdivision/Plat Name
4 Assessor Parcel No.
Lot
Block
16 Contractor Firm Name
Andersons Sheet Metal - Heating & Air Conditioning
Street Address
E, 13903 Trent Ave.
17 Zip
Spokane 99216
City Spokane
Washington
State
Washington
Phone
1 (509 ) 928-0960
18 Contact Person
Eric R. Anderson
License No.
ANDERSH213NZ
Phone if different than above
8 Owner/Agent (if different than S1 above)
Business Address
g Zip
City
State
Phone
( )
77i���
15 Describe Work: Furn • & I2uct .
Install Elec. New A Addition/Alteration ❑ Replace/Repair ❑
10 Applicant Name
Andersonts Sheet Metal - Heatin: & Air Conditionin:
Street Address
E. 13903 Trent Ave.
11 Zip
• • 216
City
. okane
State
Washin:: ton
Phone
1 ( 09) 928-0960
8 VENT: Fan(s):
EvapCooler(s):
Hood(s):
Duct(s)1:
Miscellaneous:
10 APPLIANCE:
Dryer(s):
Range s):
Gas Log(s):
Wood Steve/
Solid Fuel:
11 UNIT HEATER(S): Wall Mount: Y N
Floor: Y N
Suspended: Y N
12 AIR HANDLING: 10,000 CFM or less:
More than 10,000 CFM:
13 REFRIG SYSTEM BTU: 1-100M:
100-500M:
500-1000M:
14 1000-1750M:
Other:
Pressure Vessel (cu. ft.):
15 COMPRESSOR/HP: Less than 3:
3-15:
15-30:
30-50:
50+:
16 GAS PIPING SYSTEM: Number of outlets:
17 HEATING SYSTEM: 1-100,000 BTU: Install TPI 23 KW Elec.
F Mi. a i ' W. a
100,001 + BTU:
18 TYPE FUEL SOURCE: Electric EX; Gas ❑ ; 011 0 ; Coal 0 ; Wood 0 ; Solar 0
19 TYPE DISTRIBUTION: Forced Air Cr; Radiant 0 ; Heat Pump❑
1* Number of separate zones for any heating, A/C or air handling system.
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 i S 7P DATE lihreyder 26' 198
(Eric R. Anderson, Owner