HomeMy WebLinkAbout1986, 09-09 Permit App: 00013049 Gas PipingMECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
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.
SIGNATUaE OF
OWN ER OR_✓".1 / 4'
DATE APPLICATION / /
Project N
Owner's Name Last First MI
Pelland AL
ProJert Address (Street Name & Number)
a E. 8622 Valley Way
City
Spokane
State
_ WA
Subdivision/Plat Name
Assessors Parcell
Lot
Block
Piet #
Applicant
Address
City 1 State Zip
! Phone
Business Phone
Contractor
Air Design Heating and Refrigeration, Inc.
Address
E. 1807 Francis
City
Spokane
State
WA
Zip
99207
Phone
487-4328
Contact
Barbara
License M
AIRDF,I-,161JW
Buslnees Phone
487-4328
Deecrlbe Work
Gas piping to meter $20.00
Fans
Evaporative Cooler
Hoods
Electric Furnace/Ducts
Miscellaneous
Ciye
Range
Gas Log
Gas Water Htr.
Solid Fuel/ Wood Stove
Air Handling Unita
0-10,000 CFM
10,000+ CFM
Refrigeration Systems/
Heat Pumps (BTU)
1-100M
101-500M
501-1,000M
1,001-1750M
Over 1750M
Compressor
0-3HP
3-15HP 15-30HP
30-50HP
50+11P
Gas Piping
1-5 Out lets
8+ Outlets
Gas Fired Heating System
1-100,000BTU
10v, 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.
SIGNATUaE OF
OWN ER OR_✓".1 / 4'
DATE APPLICATION / /