1987, 05-08 Permit App: 87001268 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 / 87 S
owner's Name last First
Bonderman Ivep
MI
Project Address (Street Name & Number)
N. 918 Ravalli Dr.
City
Veradale
State
Wash.
Subdivision/ Plat Name
gssessora Parcel N ` f r I
6
Lot
Block
Plat M
Applicant
Ivan Bonderman
Address
N. 918 Ravalli Dr.
City
Veradale
State Zip
Wash. 799037
Phone
922-6398
Business Phone
Contractor
STURM HEATING, INC.
Address
E. 204 Indiana
City
Spokane
State ZI
WA
p
99207
Phone
Contact
Sherry
License 8
STURMI*
210 OF
Business Phone
325-4505
Describe work
Install Air Conditionin
$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
Ref,ig.r.tionSystems/
Heat Pumps (BTU)
1-t00M
9 . 0 0
101-SOOM
501-1,p00M
1,001-1750M
Over 1750M
Compressor
0-3H P
3-15H P15
-30H P
30-50H P
50 + H P
Gas Piping
1-5 Outlets
6 + Outlets
Gas Fired Heating System
1-100,000BTU
t 0,:,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,