1986, 09-16 Permit App: 00013269 Mechanical FixturesMECHANICAL 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
APPLICATION
DATE 9-16-86
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Project #
Owner's Name Last First MI
WRS CONSTRUCTION - SMITH HOMES
Project Address (Street Name & Number)
S. 3422 Melissa
City
Spokane
State
Washington
Subdivision/Plat Name
Assessors Parcel #
Lot
Block
Plat #
Applicant Anderson's Sheet Metal
Heating & Ai 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 & Ai Conditin� n__i
Address
E. 13903 Trent Ave.
City
Spokane
State
Washington
Zip
99216
Phone
1-509-928-0960
Contact
Eric R. Anderson
License #
ANDERSM158NZ
Business Phone
m tt
Describe Work Install new Carrier 60,000
Conditioner,Ho t 40 Gal.Gas water
BTU Gas Furnee,
heater;
a 2 1/2 Ton Carrier Air
pipit duet R1 PP Air 0 -Lea
Fans
Evaporative Cooler
Hoods
,
Electric Furnace/Ducts
�11
Miscellaneous ( dd�"
oneywell Air
Dryer
Range
y
Gas Log
Gas Water Her. .
Hoyt 40 G .
Solid Fuel /Wood Stove
Air Handling Units
0-10,000CFM
10,000+ CFM
Refrigeration Systems/
Heat Pumps (BTU)
1-100M 191
carrier 2 1/2 Ton
101-500M
fir Cond.
501-1,000M
1,001-1750M
Over 1750M
Compressor
0-3HP
3-15HP
15-30HP
30-50HP
50+ HP
Gas Piping
1-5 Outlets
Two Outlets 7
6+ Outlets
Gas Fired Heating System
1-100,000BTU v t—10v,JA0+BTU
Carrier 60,000 BTU Gas
Furnace, & duct system.
Gas Furnace $9.00
Air Cond. 9.00
Hoyt Water Htr.6.50
1ec.Air/C1ean.6.50 ..
Gas Piping OL 3.00
±roc. Fee 15.00
mn+n i /A a nn
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
DATE 9-16-86
rler.
!lea/
�r.