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.