1985, 10-08 Permit App: 00008659 Furnace, PipingMECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
/6,6105
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
OWNER OR
APPLICATION d
DATE
Project # 1,
(�i
Owner's Name Last First MI
Caldwell Dick
Project Address (Street Name & Number)
N. 4406 Progress Q. (6,
City
Spokane
State
WA
Subdivision/ Plat Name
fqttictcsA o'
Assessors Parcel #Lot
C254/t- c2t1
.7
Block
Plat #
Applicant
same
Address
same
City
Spokane
State
WA
Zip
99216
Phone
928-2939 or 456-2718
Business Phone
Contractor
Sturm Htg.
Address
E. 204 Indiana
City
Spokane
State
WA
Zip
99207
Phone
325-4505
Contact
Diane
License #
ST—UR—MI-210—QF
Business Phone
325-4505
Describe Work
Install new gas furnace 52,000btu's $ 20.00
Fans
3.00
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
101-500M
501-1,000M
1,001-1750M
Over 1750M
Compressor
0-3HP
3-15HP
15-30HP
30-50HP
50+HP
Gas Piping
2.00 •00
1-5Outlets
6+ Outlets
Gas Fired Heating System
1 100'000BTU 6.00
.00
10v,:.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
OWNER OR
APPLICATION d
DATE