1985, 11-25 Permit App: 00008883 Water Softener •
PLUMBING
MEMAWCAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
Project# '�� _7
Owner's Name Last First MI
SCHWARTZ c Charles
Project Address(Street Name&Number)
City State Subdivision/Plat Name
Assessors Parcel# Lot Block Plat#
Applicant Address
SCHWARTZ, Charles II. S. 4407 Skipworth
City State Zip Phone
pokane WA 9920E 926-5594
Business Phone
Contractor Address
y
Soft Water Service Co. E. 25 Third
City Spokane State WA Zip 99202 Phone 455-8050
Contact License# Business Phone
Describe Work Installed 'Water Softener
Fans Evaporative Cooler Hoods Electric Furnace/Ducts Miscellaneous
Dryer Range Gas Log Gas Water Htr. Solid Fuel/Wood Stove
0-10,000 CFM 10,000+CFM
Air Handling Units
Refrigeration Systems/ 1-100M 101-500M 501-1,000M
Heat Pumps(BTU)
1,001-1750M Over 1750M
Compressor 0-3HP 3-15HP 15-30HP 30-50HP 50+HP
1-5 Outlets 6+Outlets
Gas Piping
Gas Fired Heating System 1-100,000BTU 10,,;.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 Soft 1'4ater ServiceCo. APPLICATION
OWNER OR .DATE sNN