1989, 05-04 Permit App: 89001159 Mechanical Fixtures MECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
Project#
Owner's Name Last First MI
Cushman Royal
Project Address(Street Name&Number)
S. 607 University .
City State Subdi / lat Name
Spokane Wa. 10 )egAK )
Assessors Parcel# — 8 Lot /5 Block Plat#
Applicant Address
Royal Cushman S. 607 University
City State Zip Phone
Spokane _ Wa. _ 99206 924-3812
Business Phone
Contractor Address
STURM HEATING, INC. E. 204 Indiana
City State Zip Phone
Spokane Wa. 99207 325-4505
Contact License# Business Phone
Sherry STURMI * 210 QF 325-4505
Describe Work
Install cas furnace/outlet/air conditioning $33. 50
Fans Evaporative Cooler Hoods Electric Furnace/Ducts Miscellaneous
Dryer Range Gas Log Gas Water Htr. Solid Fuel/Wood Stove
0-10,000 CFM 10,000+CFM
•
Air Handling Units
Refrigeration Systems/ 1-100M 101-500M 501-1,000M
Heat Pumps(BTU)
9_00
1,001-1750M Over 1750M
O-3HP 3-15HP 15-30H P 30-50H P 50+HP
Compressor
1-5 Outlets 6+Outlets
Gas Piping
_ 5_0
1-100,000BTU 10v, 00+BTU
Gas Fired Heating System 9 .00
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