1986, 09-29 Permit App: 00013520 Mechanical FixturesMECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
1 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 /� �`'� DATE �`��
Project M 435,740
Owner's Name Last First MI
GILBERT MIKE
Project Address (Street Name & Number)
3427 S. Melisa
City
Spokane, WA
State •
WA
Subd�visi /Plat Nam.
// 4to,LoIt', 'irk/
Assessors Parcels 335cf/ —z8oi
Lot
Block '
Plat M
Applicant
Address
City
I State I Zip Phone
!Business Phone
'; Contractor
Air Design Heating and Refrigeration, Inc.
Address
_ E. 1807 Francis
Gty
'Spokane .
State
WA
Zip
99207
Phone
535-2527
Contact
Barbara
License M
AIRDEI*161JW
Businees Phone
535-2527
Describe Work
Install 82,000 BTU gas furnace 40 gallon water heater $33.50
Fans .
Evaporative Cooler
Hoods
Electric Furnace/Ducts
Mlsoellaneous
Dryer
Range
(las Log
Gas Water Htr.
X
Solid Fuel/Wood Stove
Air Handling Unita
0-10,000 CFM
10,000+ CFM
. Refrigeration Systems/
Heat Pumps (BTU)
1-100M
101-500M
501-1,000M
1,001-1750M
Over 1750M
'Compressor
0-3HP
3-15HP
1530HP
30-5OHP ,
50+ HP
:(las Piping
1-6 Outlets
X
5+ Outlets
Gas Fired Heating System
1-100,000BTU
82,000
10v,:A0+BTU
1 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 /� �`'� DATE �`��