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1986, 05-29 Permit App: 00011511 FurnaceMECHANICAL PERMIT APPLICATION WORKSHEET PLEASE PRINT AND COMPLETE ONLY THOSr PARTS OF1HE FORM YOU UNDERSTAND 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 goverr:ing 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 j fZ_. 1`1uvK1t:a nQ nATF Project 0 Owner's Name Last First MI WATIS JACK Project Address (Street Name & Number) E. 7917 S RIVERWAY City SPOKANE State WA Subdivision/ Plat Name Assessors Parcel N ` "ALJ- Lot Block Plat fr App;Icant Address City State Zip Phone Business Phone Contr Actor AM MICN fMTM & REFRIGERATION INC Address E 1807 FRANCIS city SPOKANE State Zip WA 99207 Phone 487 x+328 Contact BARBARA License If AMEI'',161JW - Business Phone 487-4328 Describe Work Install 60,000 BN Gas Furnace rens Evaporative Cooler Hoods Electric Furnace/ Ducts Miscellaneous Dryer Range Gas Log Gas Water Htr. Solid Fuel/Wood Stove Air Harldling Units L -- 0I 10,000 CFM 10,000+ CFM Refrigeration Systeme/ Heat Pumps (BTU) 1-100M 101-500M 501-1, 000M 1,001-1750M Over 1750M Compressor 0.3HP 3-15HP 15-WHP 30-50HP 50+HP Gas Piping I-$ Outlets X 6+ Outlets Gas Fired Healing System 1-100,000BTU 60,0M 10v,:A0+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 goverr:ing 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 j fZ_. 1`1uvK1t:a nQ nATF