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1986, 12-16 Permit App: 00014557 Furnace, Piping.d -' t. . , ... MECHANICAL PERMIT APPLIOATIpN WORKSHEET PLEASE PRINT AND COMPLETEONLYTHOSE PARTS OF THE FORM YOU UNDERSTAND ,-.- ••. .. ., • ' • 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- ' pljed 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 ye_e_c* „y_d_624 OWNER OR APPLICATION DATE 12/16/86 Project I /1-72t7 , ... Owner's Name , Last First • MI • PETERSON BBL Project Address (Street Name 8. Number) . S 3807 WZOIRUFF ..„. .. City SFOKANE State ' Subdivision/Plat Nemo' ASSE6S0111 Paroel I , . . . Lot • Block Piet II . . t., Applicant .. . — • ," rr i . . Address . ... ycny , ffr ' State Zip Phone i. , • Dullness Phone mg .Contractor .,. . AIR DESIGN INC. E 1897 FRANCIS .. Clty SFCK4NE State WA Zip 99207 Phone ' 487-4328 Contact . B .. ARBARA License I AIRDEI*161jW Badness Phone • 487-4328 Deeoribe Work INSTALL .80,0033ITIGAS FURNACE _ :' - •• Fuji. Evaporative Cooler Hoods • . Etectric Furnace/Ducts Miscellaneous •, ' ....t :. Dryer ,.. , Range Gas Log Gas Water Htr. SOlk1Fual/Wiscd Stove Air Handling Units . 0-10,000 CFM ' . 10,C00+ CFM ‘: . , .... .. Refrigeration Systems/ Heat Pumps (BTU) 1-100M 101-5COM ;.; 1,001-1750M Over 1750M ,,.. ' t .0xnpressor '..- . 0-311P # 1 q 3-15HP 15-30HP . _ 30 -504 -IP . 50+ HP . .... . . „I. • . 1-5 Outlets 1 8+ Outlets ' ,..„ - • .Gas Fired Heating System , 1-100,000EITU 80,030 BIU 101/000 + STU ..F.' - ,,,.... . . .. 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- ' pljed 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 ye_e_c* „y_d_624 OWNER OR APPLICATION DATE 12/16/86