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