1986, 06-04 Permit App: 00011381 Furnace, AC , f A
MECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
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/L Project# 1138/
Owner's Name Last First MI
Doyl Ken-rC rN C
Project Address(Street Name&Number)
E. 10404 Sharp
City State Subdivis' /Plat Name
Spokane WA PP [LT-3 Po 1S`T'
Assessors Parcel# /75111 - 022Lot Block Plat#
Applicant Address
Ken Doyl E. 10404 Sharp
City State Zip Phone
Spokane Wa 99206 924-4287
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 A/C and Gas furnace $33.00
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/ 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
1-5 Outlets 6+Outlets
Gas Piping
1-100,000BTU 10v,,;00+BTU
Gas Fired Heating System 9 .00
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