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1987, 12-23 Permit App: 88000020 Furnace, Piping r^ r MECHANICAL PERMIT APPLICATION WORKSHEET ./ , PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND `i :;2./. s gi_.12,_./2-1/ • Project# e8 - Owner's Name Last First MI Nle , ,t p Project Address(Street Name&Number) / pZ C.O ,X--,:- 8 u !' ,C.,(.G,t✓ City / �n State / Subdivision/Plat Name ,41.1i-'47- Assessors Parcel M Lot Block Plat# Applicant Address f City I State 1 Zip Phone Business Phone Contractor Address NEAT TRANSFER. IN City N. 1008 RUBY State Zip Phone SPOKANE.WA 99202 Coriact (509)328.3400 License 0 Business Phone Describe Work Fans Evaporative Cooler Hoods / IFNI o• Miscellaneous Dryer a og Gas Solid Fuel/Wood Stove CF 10,000+CFM1 Air Handling Units Refrigeration Systems/ 1-100M 101-500M S3iii Heat Pumps(BTU) let 1,001-1750M Over M Compressor 0-3HP 3-15HP I1 30-50HP 50+HP $11)) 6+Outlets ::::eatioQ a 1-100,000BTU /.7 _ 10,,;,00+BTU S- f.) C) C..7 No' 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 OWNER OR U C' f�(l -jCf.,..-,..- .DATE /07 - -23''' V