1984, 09-28 Permit App: 00002598 Mechanical Fixtures'REYN3LDS FURNACE CO.
N. 6303 SUTHERLIN MECHANICAL PERMIT APPLICATION WORKSHEET
- SPOKANE. WA 92Q208
Ph: 327.(P42ASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
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1 Ow er's'Na (Last) IP (Fist) (M)
Department Use Only
Project No.
2 Project dress (Not Mailing Address) Space Zip
3 City/Community
State
Subdivision/Plat Name
4 Assessor Parcel No.
Lot
Block
16 Contractor Firm Name
REYNOLDS FURNACE CO.
Street Address
17 Zip N. 6303 su-NkRuni
SPOKANE. WA
Ph: 327-
99208
924
State
Phone
( )
18 Contact Perso
A. _ 4.
Lice = No.
&
r f cq e
Phone if different than above
8 Owner/Agent (If different than #1 above)
Business
Address
9 Zip
City
State
Phone
( )
15 ribs Work: A-ew �ti4 A.
❑ Addition/Alteration
_,,,,t/
/1;4--
Replace/Repair 0
10 Applicant ame
Street
Address
11 Zip
City
State
Phone
( )
8 VENT: Fan(s):
Evap Cooler (s):
Hood(s):
Duct(s)1:
Miscellaneous:
10 APPLIANCE:
Dryer(s):
Range s):
I
Gas Log(s):
Wood Stove/
Solid Fuel:
Gas Water Heater(s):
11 UNIT HEATER(S): Wall Mount: Y N
Floor: Y N
Suspended: Y N
12 AIR HANDLING: 10,000 CFM or less:
More than 10,000 CFM:
13 REFRIG SYSTEM BTU: 1-100M:
100-500M:
500-1000M:
14 1000-1750M:
Other:
Pressure Vessel (cu. t.):
15 COMPRESSOR/HP: Lessthan3:
3-15:
15-30:
30-50:
50+:
16 GAS PIPING SYSTEM: Number of outlets:
17 HEATING SYSTEM: 1-100,000 BTU:
100,001 + BTU:
18 TYPE FUEL SOURCE: Electric 0 ; Gas 0 ; 011 0 ; Coal 0 Wood 0 ; Solar 0
19 TYPE DISTRIBUTION: Forced Air 0 ; Radiant 0 ; Heat Pump❑
1* Number of separate zones for any heating, A/C or air handling system.
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
OWNER OR
APPLICATION 9-� e%-- '
DATE i`Sf