1985, 05-30 Permit App: 00005830 Heat Pump MECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
Project# 5-13
Owner's Name Last First MI
Sauve Jerry
Project Address(Street Name&Number)
S. 3007 Wilbur Rd.
City State Subdivision/Plat Name
Spokane WA
Assessors Parcel s41.4 1 I y Lot s Block Plat#
Applicant Address
Sauve Jerry S. 3007 Wilbur Rd.
City State Zip Phone
Spokane WA 99206 926-8187
Business Phone
Contractor Address
Sturm Heating E. 204 Indiana
City State Zip Phone
Spokane WA 99207 325-4505
Contact License# Business Phone
Diane ST-UR-MI-210-QF 325-4505
Describe Work
Install heat pump
Fans Evaporative Cooler Hoods Electric Furnace/Ducts Miscellaneous
Dryer Range Gas Log Gas Water Htr. Solid Fuel/Wood Stove
Air Handling Units 0-10,000CFM 10,000+CFM
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.,L00+BTU
fee $ 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 APPLICATION
OWNER OR
iti-/"./14/i2 .DATE '�5