1985, 08-08 Permit App: 00006944 FurnaceH
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Furnace x6.00
Gas Piping 2.00
Permit Fee 10.00
MECHANICAL PERMIT APPLICATION WORKSHEET �`,_'n
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERS=TAND
1 Owner's Name (Last) (First) (M) Department Use Only •
HEYN LAUREN Project No. t4�
2 Project Address (Not Mailing Address) Space Zip
E. 12615 Vall.eyway 99216
3 City/Community
Spokane
State
Washington
Subdivision/Plat Name
4 Assessor Parcel No. i C_f sl —' �CJ 1
1 7 f
Lot
Block
16 Contractor Firm Name
ANDERSON'S SKEET METAL - HEATING & AIR CONDITIONING
Street Address
E. 13903 Trent Ave.
17 Zip
99216
City
Spokane
State
Washington
Phone
1( 509 ) 928-0960
18 Contact Person
Eric R. Anderson
License No.
ANDERStT213NZ
Phone if different than above
8 Owner/Agent (if different than #1 above)
Business Address
9 Zip
City
State
Phone
( )
15 Describe Work:
New i=! Addition/Alteration 47 Replace/Repair E
10 Applicant Name
Anderson's Sheet r)etal - Heating & Air Conditioning '
Street Address
E. 13903 Trent Ave.
11 Zip
99216
City
Spokane
State
Washington
Phone
1 (509 ) 928-0960
8 VENT: Fan(s):
Evap Cooler(s):
Hood s):
Duct(s)1:
Miscellaneous:
10 APPLIANCE:
Dryer(s):
Range s):
Gas Log(s):
Wood Stove/
Solid Fuel:
Gas Water Heater(s):
11 UNIT HEATER(S): Wall Mount: Y N
Floor: Y N
Suspended: Y N
12 AIR HANDLING: 10,000CFM or less:
More than 10,000 CFM:
13 REFRIG SYSTEM BTU: 1-100M:
100-500M:
500-1000M:
14 1000-1750M:
Other:
Pressure Vessel (cu. t.):
15 COMPRESSOR/HP: Lessthan3:
3-15:
15-30:
30-50:
50+:
16 GAS PIPING SYSTEM: Number of outlets: One
D�
17 HEATING SYSTEM: 1-100,000 BTU: 75,000 BTU Rhheem Standard as
103,001+ BTU:
18 TYPE FUEL SOURCE: Electric -_ Gas IE ; Oil ❑ ; Coal ❑ ; Wood ❑ ; Solar ❑
19 TYPE DISTRIBUTION: Forced Air CX.; Radiant ❑ ; Heat Pump
1' Number of separate zones for any heating, A/C or air handling system.
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
OWNER OR �1
Eric . Anderson, Owner
APPLICATION
DATE 8-8-85