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1986, 01-22 Permit App: 00009507 Wood Stove MECHANICAL PERMIT APPLICATION WORK$HUUT PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND Project# CL/5-6I Owner's Name Last First MI Braucht Janelle Project Address(Street Name&Number) N. 1108 Tshirley Ct _ - City State Subdivision/Plat Name Spokane WA 99016 Assessors Parcel# (((/ [ll/�s /r�� ` q`� Lot Block Plat# Applicant Address City State Zip Phone Business Phone Contractor Address Valley Fireplace E. 16610 Sprague - PO Box 553 City State Zip Phone Veradale WA 99037 922-2780 Contact License# Business Phone VALLEF 177 CG • Describe Work �'1`-` ;?Y_ G'tit __, Installation f Nighthawk, pipe, hearth. Fans Evaporative Cooler Hoods Electric Furnace/Ducts Miscellaneous Dryer Range Gas Log Gas Water Htr. Solid Fuel/Wood Stove yes, see above 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 0-3HP 3-15HP 15-30HP 30.50HP 50+HP Compressor 1-5 Outlets 6+Outlets Gas Piping Gas Fired Heating System 1-100,000BTU 10u, 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. 0 SIGNATURE OF 7) � 1 APPLICATION l OWNER OR ni1,1(„1.v'?" .DATE.