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1988, 08-01 Permit App: 88002199 AC
es MECHANICAL PERMIT APPLICATION WORKSHEET PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND r4.7(AS 6 1Qcon Pro act 'Z. /6/C1 (Tenor's Name Last First MI MI ]3QthaPb Harold project Address (Street Name & Number) E.'9707 Mission City Spokane Slats - Wa. Subdivision/Plat Name 42rc p M t SS/o(J Assessors Parcel f06J! 4r (p _ let , �I Black n 2-- Plat Plat/ VLJ ' Applicant Rothgeb 1 Address E. 9707 Mission City Spokane State WA.. - Zip - 99206 Phone 924-3720 Business Phone • Contractor STURM HEATING, INC. Address— E. 204 Tndiana city Spokane State WA - Zip 99207 Phone 325-4505 Contact Sherry License 0 STURMI* 210 QF Business Phone 325-4595 Doacriba Work Install air conditi_ouina $24.00 Fans Evaporative Cooler Hoods Electric Furnace/Ducts Miscellaneous Dryer Rano Gas Log Gas Water Htr. Saeid Fuel/ Wood Siwe Alr Handling Units 0-t0,000CFM 10.000+CFM Refrigeration Systems/ Heat Pumps (BTU) 1-100M 9.00 101-500M 501-1.000M 1,031-1750M Over 1750M Compressor _ 0-3HP 15-30HP 70-50HP Sp+HP Gas Piping 1-5 Outlets_ 6 + Outlets ' Gas Fired Heating System 1"100•000©Tu 10,403 a 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 APPLICATION