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1987, 07-02 Permit App: 87002078 Mechanical Fixtures MECHANICAL PERMIT APPLICATION WORKSHEET • • PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND . 1 Project/ Last First MI• , • • Owner's Name THDR,J PAUL Y Project Address(Street Name&Number) • 7, S 4423 SKIPW 1 IH i,:, IState Sobdi IsionlPtatName c w,. City �/) � J� 1',, SPOKANE WA 'QA 2_ . 7ri 04-Assessors 4- , 6 JVD Lot Block 2 Plat/ Assessors Parcel w /�`//f/+'�` q Address ' StateI Phone � . City I I Zip ::,. Business Phone `- - Address A, Contractor - .; Air Design, Inc. E. 1837 Francis Phone 1'T' City (Slate - _ Zip Spokane 1 WA 99207 (`A9) 487-4328 ContactLicense 0 Business Phone ..1:r.''-s •. R-rbara 'AIRDEI#161JW (509) 487328 ?':r Describe Work E>;?: Install a new 100 BIU gas furnace, gas water hater and gas piping $32.50 _. Evaporative Cooler Hoods Electric Furnace/Ducts Mleoellaneous . Fans .cv fid;, ;; GasWater Htr. Slid Fuel/Wood Stove Gas Range Gas LoLOCI ' I 10,000+CFM6.50 :;s• 0-10,000 CFM • '. Air Handling Units t101500M I501.1,000M . !••. Refrigeration Systems/ 1-100M • 4! Heat Pumps(©TU) - 1,001-1750M Over 1750M 0-3H P 1 0 15HP 1530HP 30 50HP 50+HP • , • Compressor 1-5 Outlets 6+Outlets ' Gas Piping 4 outlest $2.00 Y., 1-100,000BTU 10., 0+BTU k',' stem :A Gas Fired Heating SyS9.00 • I. r,., .. 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. q Z7-4---47-4APPLICATION ` SIGNATURE OF`�i��� DATE OWNER OR ,4