1986, 10-13 Permit App: 00013584 Mechanical Fixtures . r ,...,
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. MECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
Project#
Owner's Name Last First MI
Fredrick Al
Project Address(Street Name&Number)
E. 17909 Riverway
City State Subdivision/Plat Name
Green Acres WA
Assessors Parcel# Lot Block Plat#
Applicant Address
Al Fredrick E. 17909 Riverway
City State Zip Phone
Green Acres WA 99016 926-5198
Business Phone
Contractor Address
Sturm Heating, Inc. E. 204 Indiana
City State Zip Phone -
Spokane WA 99207 325-4505
Contact License# Business Phone
Carol STURMI*210 QF
Describe Work
Install Air Handler 24 .00
Fans Evaporative Cooler Hoods Electric Furnace/Ducts Miscellaneous
Dryer Range Gas Log Gas Water Htr. Solid Fuel/Wood Stove
0-10,000CFM 10,000+CFM
Air Handling Units /��
Refrigeration Systems/ 1-100M 101-500M 501-1,000M
Heat Pumps(BTU) 9 .00
1,001-1750M Over 1750M
Compressor 0-3HP 3-15HP 15-30HP 30-50HP 50+HP
Gas Piping 1-5 Outlets 6+Outlets
Gas Fired Heating System 1-100,000BTU 10x,;,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