1987, 10-05 Permit App: 87003323 FuranceMECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
1 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_ DATE.
APPLICATION
Project 132,3 _
Owner's Name Last First MI
Brautigam Richard
project Address (Street Narne & Number)
s. 3923 Ridgeview Dr. 1
City
Spokane
State
Wash.
Su Mon /Plat Name
UDF
Sk 2,C
Assessors Parcel I 3 if 1 — / ()CI--
Bloc,cks
Plat I
Applicant
Richard Brautigam
( Address
S.
3923 Ridgeview Dr.
City
Spokane
State
Wash.
Zip
99206
Phone
926-5456
Business
Phone
924-3643 •
Contractor
STURM HEATING, INC.
Address
E. 204 Indiana
City
Spokane
State
WA
Zip
99207
Phone
325-450
Contact
Sherry
License I
STURMI* 210 OF
Business
Phone
32.5-4 05
Describe Work
Install gas furnace
$24.00
Fans
Evaporative Cooler
Hoods
Electric Furnace/Ducts
Miscellaneous
Dryer
Range
Gas Log
Gas Water
Htr.
Solid Fuel/Wood Stove
Air Handling Units
0.10,000 CFM
10,000+ CFM
Refrigeration Systems!
Heat Pumps (BTU)
1-100M
101-500M
501-1,000M
1,001-1750M
Over 1750M
Compressor
0 -31 -IP
3-15HP
15-30HP
30-50H P
50 + HP
Gas Piping
1-5 Outlets
6+ Outlets
Gas Fired Heating System
1-100,0008TU
9.00
10,,,,.00 + BTU
1 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_ DATE.
APPLICATION