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