1988, 07-15 Permit App: 88001998 Piping •
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MECHANICAL PERMIT APPLICATION WORKSHEET .
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
•
. Pro,oct 1 EJ5, e_,gq C(�3
Ownor'a Name Last First /� Ml ��
6 0 L Ml 4,A) U 6
project Address(Street Name&Number)
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City State Subdivision/Plat Name
%Pc � L P —H- ADD TO VV?ALLAL 14Is
Assessors parcel f r 1
[5 —()56 •. Lot . iitio. Blocks Plat It .
Applicant Address
city State Zip Phone
3 C/ L'
IBusiness Phone •
Contractor Address
STURM HEATING, INC. E. 204 Indiana
City State Zip Phone
Spokane WA • . , - 99207 325-4505
Contact License I Business Phone
• Sherry STURMI* 210 QF 325-4505
Describe Work• / 1 /
�G- a
Fans • Evaporative Cooler Hoods Electric Furnace/Ducts Miscellaneous
Dryer Range Gas Log Gas Water Htr. Solid Fuel/Wood Stove
•
• f 0-10,000CFM 10,000+CFM
Air Handling Units 1
Refrigeration Systems( 1-100M 101-500M 1501-1,O03M
Heat Pumps(BTU) Ij
1,001-1750M Over 1750M
' 0-3HP 3-15HP 1530HP 30-50HP 50+HP
Compressor
•
�\, 1-5 Outlets 6+Outlets
Gas Piping
/ 3 --)
Gas Fired Heating System 1-100,0008TU 10..,;,00+BTU
2 Oe_ 3-36
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 APPLICATION
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