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1986, 05-07 Permit App: 00010891 ACMECHANICAL PERMIT APPLICATION WORKSHEET PLEASEPRIIJT 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. ZtiyO SIGNATURE OF APPLICATION OWNER OR DATE Project If [ O2)q j t l ) Owner's Name Last First MI Bascetta Connie Project Address (Street Name & Number rE. 7708 Nora City Spokane State Spokane Subdivision/Plat Name Assessors Parcel ft Lot Block Plata Applicant Connie Bascetta Add ess E. 7708 Nora City Spokane State WA Zip 99206 Phone 928_2419 Business Phone Contractor Sturm Heating, Inc. Address E. 204 Indiana City Spokane State WA Zip 99207 Phone Contact Carol License N STURMI* 210 QF Business Phone 325-4505 Describe Work Install A/C 24.00 Fans Evaporative Cooler Hoods Electric Furnace/Ducts Miscellaneous Dryer Range Gas Log Gas Water Htr. Solid Fuel/ Wood Stove Air Handling Units 0-10,000CFM 10,000+ CFM Refrigeration Systems/ Heat Pumps (BTU) 1-100M 9.00 101-500M 501-1,000M 1,001-1750M Over 1750M Compressor 0-3HP 3-15HP 15-30HP 30-50HP 50 -FHP Gas Piping 1-5 Outlets 6+ Outlets Gas Fired Healing System 1-100,000BTU 1P,,,;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. ZtiyO SIGNATURE OF APPLICATION OWNER OR DATE