1989, 05-04 Permit App: 89001160 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 OR DATE
Project #
Owner's Name Last
Price
First
Gil
MI
Project Address (Street Name & Number)
S. 3007 Oberlin
City
Spokane
State
Wa.
Subdivision/ Plat Name
Assessors Parcel#
Lot
Block
Plat#
Applicant
Gil Price
Address
S. 3007 Oberlin
City
Spokane
State
Wa.
Zip
99206
Phone
926-2707
Business Phone
Contractor
STURM HEATING, INC.
Address
E. 204 Indiana
City
Spokane
1 State
Wa.
Zip
99207
Phone
325-4505
Contact
Sherry
License #
STURMI
* 210 QF
Business Phone
325-4505
Describe work
Install air conditioning
$24.00
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)
1-100M
9.00
101-500M
701
-1,000M
1,001-1750M
Over 1750M
77�_P_
Compressor1
3-15HP
15 30HP
30-50HP
50+HP
Gas Piping
1-5 Outlets
6+ Outlets
Gas Fired Heating System
1-100,0008TU
10.,,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 APPLICATION
OWNER OR DATE