1986, 03-26 Permit: 00010219 Mechanical Fixtures1.+
MECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE_ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
1 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 corn -
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 344/46
OWNER OR DATE
Project N
I b 22 ° 1
Owner's Name Last First MI
Kvasnicka Greg
Protect Address (Street Name & Number
E. 18310 Riverway
City
Spokane
State
WA
Subdivision/Plat Name
Assessors Parcel 1
Lot
Block
Platt
Applicant
Greg Kvasnicka
Add ess
N. 211 Blake
City
Spokane
State
WA
Zip
99216
Phone
926-8578
Business Phone
Contractor
STURM HEATING, INC.
Address
E. 204 Indiana
City
Spokane
State
WA
Zip
99207
Phone
325-4505
Contact Carol
Licensel STURMI* 210 QF
Business Phone .S 25-4505
Describe Work
Install Heat Pump and Elec. Heat system 30.50
Fans
6.50
Evaporative Cooler
Hoods
Electric Furnace/Ducts
Miscellaneous
Dryer
Range
Gas Log
Gas Water Htr.
Solid Fuel/Wood Stove
Air Handling Unite
0-10,000 CFM
10,000+ CFM
Refrigeration Systems/
Heat Pumps (BTU)
1-100M
9.00
101-500M
501-1,000M
1,001-1750M
Over1750M
Compressor
0-3HP
3-15HP
15-30HP
30-50HP
50+HP
Gas Piping
1-5 Outlets
6rOutlets—
Gas Fired Heating System
1-100,000BTU
1ov,,:00+BTU
1 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 corn -
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 344/46
OWNER OR DATE