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