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1988, 11-08 Permit App: 88003611 Furnace MECHANICAL PERMIT APPLICATION WORKSHEET PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND Project# Owner's Name Last First MI Pierce Steve Project Address(Street Name&Number) S . 3807 Woodward City State Subdivision/Plat Name Spokane Wa. Assessors Parcel# Lot Block Plat# Applicant Address Steve Pierce S . 3807 Woodward City State Zip Phone Spokane Wa. 99206 924-4905 Business Phone 928-8000 ext. 493 Contractor Address STURM HEATING, INC. E. 204 Indiana City State Zip Phone Spokane Wa. 99207 325-4505 Contact License# Business Phone Sherry STURMI * 210 QF 325-4505 Describe Work Install elec. furnace/ductwork $28. 00 Fans Evaporative Cooler Hoods Electric Furnace/Ducts Miscellaneous iri 13 .00 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) 1,001-1750M Over 1750M 0-3HP 3-15HP 15-3OHP 30-50HP 50+HP Compressor 1-5 Outlets 6+Outlets Gas Piping Gas Fired Heating System 1-100,000BTU 10,,,�,00+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 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 .DATE