1986, 08-01 Permit App: 00012580 Heat Pump MECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
i2.405
2,40 sr2
Project# /l L+�V
Owner's Name Last First MI L•`J
Ecklund Joan L...
Project Address(Street Name&Number)
S. 1623 Wardson
City State Subdivi ion/Plat Name
Spokane, WA E.1Q ghRot
Assessors Parcel# cid✓� , O24 9 Lot 5 Block Plat#
App!icant ' Address
Joan Ecklund S . 1623 Wardson
City State Zip Phone
Spokane WA 99212 535-0951
Business Phone
483-6449
Contractor Address
STURM HEATING, INC. E. 204 Indiana
City State Zip Phone
Spokane, WA 99207 325-4505
Contact License# Business Phone
Carol STURMI*210 QF
Describe Work
Install HP 24.00
Fans Evaporative Cooler Hoods Electric Furnace/Ducts Miscellaneous
Dryer Range Gas Log Gas Water Htr. Solid Fuel/Wood Stove
Air Handling Units 0-10,000 CFM 10,000+CFM
Refrigeration Systems/ 1-100M 101-500M 501-1,000M
Heat Pumps(BTU) 9 .00
1,001-1750M Over 1750M
Compressor 0-3HP 3-15HP 15-3OHP 30-5OHP 50+HP
1-5 Outlets 6+Outlets
Gas Piping
Gas Fired Heating System 1-100,000BTU 10‘,0300+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 corn- Li
plied with whether specified herein.or not. The granting of a permit does not presume to give authority to 2
violate or cancel the provisions of any state of local laws regulating construction or the performance of
construction.
SIGNATURE OF APPLICATION
OWNER OR .DATE 8"/ Sr4