1984, 09-28 Permit App: 00002599 Mechanical Fixtures- REYNOLDS FURNACE CON: 6303 SUTHERLI.
SPOKANE, WA 99208 MECHANICAL PERMIT APPLICATION WORKSHEET
Ph: 3270114ASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
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1 owner's N (Last)(First) LM) ,
) 2 t� �� 1/
Department Use Only
Project No.
2 Project ress (Not Mailing Address) Space Zip
3 City/Community
State
Subdivision/Plat Name
4 Assessor Parcel No.
Lot
Block
A....16 Contractor Firm Name REYNOLDS FURNACE CO.
N. 6303 SUTHERLIN
Street Address
17 Zip SPOKANE, WO(tt99208
Ph; 327_-4924
State
Phone
( )
18 t Person i, )4�/��s/ ✓
I License ����j��
Phone if different than above
8 Owner/Agent (if different than #1 above) Business Address
9 Zip
City
State
Phone
( )
`I _7
15 Dari4rk: el w- /§4-41Z- O 9rfi��tyl. � ,
[//�J dv —New ❑ Addition/Alteration Ili/ Replace/Repair ❑
10 Applicant N�ie
Street Address
11 Zip
City
State
Phone
( )
8 VENT: Fan(s):
EvapCooler(s):
Hood(s):
Duct(s)1:
Miscellaneous:
10 APPLIANCE:
Dryer (s):
1 Range s):
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 ; Oil 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 APPLICATION
OWNER OR DATE 7