1986, 09-12 Permit App: 00013147 Furnace 13513 1li1
_ MECHANICAL PERMITAPPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLy,+ 8 i rf RT54'OF THF eo, M YOU„UNDERSTAND
a�.. ' . ` �4� '. y, . ' ''�n^ ;"^ 'ret
s
Project l 13 II 1
1 Owner's Name Last rst Ml
Protect Address(Street Name&Number) ` 1 '''4;:''.: "
l5 7/4 ./ . ,,, Poky
C t v `State Ivialon►Pia
l��G` i� X ...ir V EVA
Assessors P 10 i • Lot . .Block Plat r
1663
,...;. Addmis,
Applicant
State. ZIpr' j Phone '`�‘ ....:„.75 .z.._/
`,.k:*::4': Bualnen Phone
Contractor . Address
BANNER FURNACE & FUEL, INC. P. 0. BOX 4346
City State . . aP :'`` Phone
SPOKANE WAS 99202 535 1711
Contact License 0 Business Phone
JOHN HATHAWAY .BANNEFF378NT 535 1711
Describe Work r-
Fens Evaporative Cooler Hoods Electric Furnace/ducts Miscellaneous
Dryer Range Lias Log' Gas Water Htr. Solid Fuel/Wood Stove
0-10,000 CFM 10,000+CFM
A Handling Units
H---- 501-1,000M
Refrigeration Systems/ 1.100M 101-600►
Heat Pumps(BTU) .
1,001-1750M -',%! Owr1760M
0-3HP 3.15HP 15.30HP 30-50HP 50+HP
Compressor
1.6Outlets '`ir t 1 - 6+Outlets
Gas Piping
.: Fired Heating System v
, 2‘-'‘r-;)'
1 certify that the above information aspsubmitted 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-
ciied with whether specified herein or not. The granting of a,permit does not presume to give authority to
,io!ate or cancel the provisions of any state of local laws regulating construction or the performance of
construction.
SIGNATURE OF r - APPLICATION, �,2,_ j
OWNER 0R „ ,,,/&',4- A,._/_,, ,,7,
DATE fC