HomeMy WebLinkAbout1986, 07-05 Permit App: 00012577 Mechanical Fixtures- ; MECHANICAL 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 I laws regulating construction or the performance of
construction.
SIGNATURE OF APPLICATION
OWNER OR DATE 7_
C•
Project N
Owner's Name Last First MI
ANDERAL TOM
Project Address (Street Name & Number)
1407 S. Kahuna Drive
c'p o k a n e
stateW ash i n g t o n
Subdivision/ Plat Name
KAHUNA
Assessors Parcel x +� ' /
Lot 5
Block B
Plat e
Applress
lo hDY'S HEATING & AIR- CONDITIONIiNG
Amp O.BOX 804
RY D E N LAKE,
state IDAHO "pk
3 8 3 5
Phone
208-772-45.70
Business Phone
ContractKHOR'EWOOD HOMES
Address 8191 LOCH HAVEN DRIVE
City HAYDEN LAKE,
state IDAHO Zip *3835
Phon208-772-7581
Contact
License N CCATAF
ANDYS HA249LN
Business Phone
Describe work
INSTALL GAS FURNACE DUCT GAS PIPE F.A. AND W/H
Fans
Evaporative Cooler
Hoods
Electric Furnace/ Ducts
Miscellaneous
Dryer
Range
Gas Log
Gas Water Htr.
Solid Fuel/ Wood Stove
Air Handling Unita
0-10,000 CFM
10,000+ CFM
Refrigeration Systems/
Heat Pumps (BTU)
1-100M
101-500M
501-1, 000M
1,001-1750M
Over 1750M
Compressor
0-3HP
3-15HP
15 30HP
30-50HP
50+HP
Gee Piping
1-SOutlets
S+ Outlets
Gas Fired Heating System
1-100,000BTU
8n non
10,,:,00+BTU
MMM "Bm X
WATER HEATER SUPPLIED BY PLUMBER
Gas F/A - 9.00
Gas Pipe W/H 6.50 (Was I to pay this when the plumber supplied W/H??
Gots Pipe
3.88 thailks
Ass. Fee_- 15.00
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 I laws regulating construction or the performance of
construction.
SIGNATURE OF APPLICATION
OWNER OR DATE 7_
C•