1985, 12-18 Permit App: 00009302 Furnace v
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MECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
Project#
Owner's Na a Last First MI
Becstrom Steve
Projec140egs(SSeet NWarren r)
City Veradale State WA Subdivision/Plat Name
Assessors Parcel# Lot Block Plat#
Applicant Address
Beckstrom 1403 S. Warren
City State Zip Phone
Veradale WA 99037 924-1223
Business Phone
Contractor Address
Sturm Heating, INC. E. 204 Indiana
City State Zip Phone
Spokane WA 99207 325-4505
ContactLicense# Business Phone
Diane ST—UR—MI-210—QF 325-4505
Describe Work Install 15KW electric furnace
Fans Evaporative Cooler Hoods Electric Furnace/Ducts Miscellaneous
3.00 4. 50
Dryer Range Gas Log Gas Water Htr. Solid Fuel/Wood Stove
0-10,000CFM 10,000+CFM
Air Handling Units
Refrigeration Systems/ 1-100M 101-500M 501-1,000M
Heat Pumps(BTU)
•
1,001-1750M Over 1750M
Compressor
0-3HP 3-15HP 15-30H P 30-50H P 50+H P
1-5 Outlets 6+Outlets
Gas Piping
Gas Fired Heating System 1-100,000BTU 10.,:,00+BTU
total $ 20 .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 `7F �-, �; _ APPLICATION ,
OWNER OR /�/ `'c ' ' DATE %4.-—/r'�'S