1985, 03-19 Permit App: 00004572 Furnace*
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MECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
1 Owner's Name (Last) (First) (M)
RCBM Construction
Department Use Only
Project No.
2 Project Address (Not Mailing Address) Space Zip
South 3.02 Milissa 99206
3 City/Community
Spokane
State
Washington
Subdivision/Plat Name
4 Assessor Parcel No. Lot
I Block
1/6. 72_
16 Contractor Firm Name
Ande rsonts Sheet - etal - Heating & Air Conditioning
Street Address
E. 13903 Trent Ave.
17 Zip
99216
City
Spokane
State
Wash.
Phone
509( 928) 0960
18 Contact Person
Eric R. Anderson
I License No.
ANDERSH213NZ
Phone if different than above
8 Owner/Agent (if different than #1 above)
Business Address
g Zip
City
State
Phone
( )
15 Describe Work:
New X Addition/Alteration 0 Replace/Repair 0
10 Applicant Name
Anderson's Sheet Metal - Heating & Air Cond.
Street Address
E, 13903 Trent Ave.
11 Zip
99216
City
Spokane
State
Wa.
Phone
(928 ) 0960
8 VENT: Fan(s):
EvapCooler(s):
Hood(s):
Duct(s)1: ti
Miscellaneous:
10 APPLIANCE:
Dryer(s):
I Range s):
Gas Log(s):
Wood Stove/
Solid Fuel:
Gas Water Heater(s):
11 UNITHEATER(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: Lessthan3:
3-15:
15-30:
30-50:
50+:
16 GAS PIPING SYSTEM: Number of outlets: One Outlet.
17 HEATING SYSTEM: 1-100,000 BTU: Rheein 60, 000 BTU Gas is‘urnace
100,001 + BTU:
18 TYPE FUEL SOURCE: Electric 0 ; Gas Yl ; Oil 0 ; Coal 0 ; Wood 0 ; Solar 0
19 TYPE DISTRIBUTION: Forced Air ❑R; 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 OFcoy
OWNER OR '..;;t4.,1
EEric''• derson, Owner
APPLICATION
DATE 3_19-85