1984, 09-25 Permit App: 00002636 Mechanical Fixtures(;.50
MECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
1 Owner's Name (Last) (First) (M)
Department Use Only
Carl Moore Uonstruction
Project No.
2 Project Address (Not Mailing Address) Space Zip
• c> 3F j Lth ctc/tu f - 99206
3 City/Community
Spokane
State
1^iiash .
Subdivision/Plat Name
4 Assessor Parcel No.
Lot
Block
ff%
261. k
16 Contractor Firm Name
Anderson's Sheet Meta.l - 1-tea.ting & Air Cond.
Street Address
E. 12,903 Trent Avenue
17 Zip
99216
City
Spokane
State
.'Ja.shington
Phone
1 ( 509 ) 928-0960
18 Contact Person
Eric R. Anderson
License No.
AivDERSH213i
Phone if different than above
8 Owner/Agent (if different than #1 above)
Business Address
g Zip
City
Stale
Phone
( )
15 Describe Work:
New Addition/Alteration
❑
Replace/Repair ❑
10 Applicant Name
Anderson's Sheet Metal - heating & Air Conditioning
Street
E.
Address
13903 Trent Ave.
11 Zip
99216
City
Sp oka. ne
State
a'la.sh .
Phone
1 (509 ) 928-0960
8 VENT: Fan(s):
Evap Cooler(s):
Hood(s):
Duct(s) 1: X
Miscellaneous:
10 APPLIANCE:
Dryer(s): I
Range s):
Gas Log(s):
I Wood Stove/
Solid Fuel:
Gas Water Heater(s):
11 UNIT HEATER(S): Wall Mount: Y N
Floor: Y N
Suspended: Y N
12 AIR HANDLING: 10,000 CFM or less:
More than 10,000 CFM:
13 REFRIG SYSTEM BTU: 1-100M:
100-500M:
500-1000M:
14 1000-1750M:
Other:
Pressure Vessel (cu. t.):
I 15 COMPRESSOR/ HP: Less than 3:
3-15:
15-30:
30-50:
50+:
16 GAS PIPING SYSTEM: Number of outlets:
17 HEATING SYSTEM: 1-100,000 BTU: Rheem 20 n.1.1 Elec. . r'urna.ce &
(Jomfort-JLire 3 1/2 Ton heat Pump.
100,001 + BTU:
18 TYPE FUEL SOURCE: Electric XiX ; Gas ❑ ; Oil ❑ ; Coal ❑ ; Wood L ; Solar
19 TYPE DISTRIBUTION: Forced Air ❑ ; Radiant ❑ ; Heat PumpX
1* Number of separate zones for any heating, A/C or air handling system.
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
CATION ,5-�)�
OWNER OR 2,/ttirl ��
DATE,)-
c R. Anderson, Owner