1985, 11-25 Permit App: 00008887 Plumbing FixturesPLU1,4BING
MESCAL 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 Soft 6JaterService Co.
APPLICATION
DATE
Project #
Owner's Name Last
First
MI
Project Address (Street Name & Number)
City
State
Subdivision/ Plat Name
Assessors Parcel#
z4—i1oZ
Lot
Block
Plat #
Applicant
ROBERT K. P�IAUDLIi
Address 1320 Kahuna Dr.
S.
City Spokane
State
,JA Zip
99212
Phone 534-8639 or 624-2313
Business Phone
Contractor
Soft '.Dater Service Co.
Address
,i,. 25 Third
City
Spokane
State
Zip
WA
Phone
455-8050
Contact
License #
Business Phone
Describe Work Installed 'slater Softener
Fans
Evaporative Cooler
Hoods
Electric Furnace/ Ducts
Miscellaneous
Dryer
Range
Gas Log
Gas Water Htr.
Solid Fuel/ Wood Stove
Air Handling Units
0-10,000 CFM
10,000+ CFM
Refrigeration Systems/
Heat Pumps (BTU)
1-lo0M
101-500M
501-1,000M
1,001-1750M
Over 1750M
Compressor
77Hp
3-15HP
15-30HP
30-50HP
50+HP
Gas Piping
1-5 Outlets
6+ Outlets
Gas Fired Heating System
1-100,000BTU
1W,00+BTU
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 Soft 6JaterService Co.
APPLICATION
DATE