1988, 06-24 Permit App: 88001725 AC •
_a
• MECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
. , . • iv c'd._6
(V l.) 1 ( ✓' 7I
df
Owner's Name last First MI •
Gockley Gladys
Project Address(Street Name&Number) r. (j '> 1
E. 10324 Sharp i Z5� t _l•'
City State Subdivision/Plat Name /
r
Spokane Wa. rf L--r 5 .CSC ist b <_,7
Assessors Parcel I - lot . BlockPlat I
G ^ 2-
•
Applicant Address
Gl. . - E. 10324 Sharp o
City State Zip Phone
Spokane Wa. 99206 924-7123
Business Phone •
Contractor Address
STURM HEATING, INC. E. 204 Indiana
city State Zip Phone
Spokane 99207 325-4505
Contact License I Business Phone
Sherry STURMI* 210 OF 325-4505
Describe Work
Install air conditioning $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/ 1-103M 101-500M 501-1,003M
Heat Pumps(BTU) 9 .0 0
1,001-1750M Over 1750M
10-3HP 3-15HP 15-30HP 30-50HP 50+HP
Compressor I
1-5 Outlets 6+Outlets
Gas Piping
1-100,000BTU 10.,,.00+BTU
Gas Fired Heating System
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
..•a•.'r—rt nn rI n-r