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1986, 05-13 Permit App: 00010993 ACMECHANICAL 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 APPLICATION OWNER 0R DATE Project# /Q Owner's Name Last First MI Quarles Project Address (Street Name & Number) S. 2924 Oberlin City S okane p state WA Subd vision/Plat Name T'S Assessors Parcel #/ ��� Lot 8 Bloca47544IL Plat # 3 Applicant Quarles Address S. 2924 Oberlin City Spokane State Zip WA 99206 Phone 928-1121 Business Phone Contractor Sturm Heating, Inc. Address S. 2924 Oberlin City Spokane State Zip WA 99206 Phone 928-1121 Contact Carol License # STURMI*210 QF Business Phone 325-4505 Describe Work 24.00 Install A/C Fans Evaporative Cooler Hoods Electric Furnace/ Ducts Miscellaneous Dryer Range Gas Log Gas Water Htr. Solid Fuel/ Wood Stove Air Handling Units 0-10,000CFM 10,000+ CFM Refrigeration Systems/ Heat Pumps (BTU) 1-100M 9.00 • 0 0 101-500M 5o1-1,OooM 1,001-1750M Over 1750M Compressor 0 3HP 3-15HP 30-50HP 50+HP Gas Piping 1-5 Outlets 6+ Outlets Gas Fired Heating System 1-100,000BTU 10v,"+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 APPLICATION OWNER 0R DATE