1988, 08-02 Permit App: 88002399 Furnace r
- MECHANICAL PERMIT APPLICATION WORKSHEET ,�
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTANC c,
•
46 . Project N
Owner's Name First
, MI
Project Address(Street Name&Numberl'
_ / -6 ... 16- /' -t".'
City / /{/
.- / Stats 1' J Subdiviaionl,P�la7t/`Na(/me I�
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Assessors Parcel N 22.34 �J J I - b -/Z ` Lot Block z Plat N
Applicant Address
City State Zip Phone
Business Phone
ContractorAddress
HEAT TRANSFER,
city N. 1008[CRUBY State Zip Phone
WA 99202
SPOaBusinessContact (509) + License N Business Phone
, '' Tri / C9 4--Al
Describe Work f' '—
7
7'(.._•,-L,11,417/„.() /c'`)` ' d e .) /8/ r (Lt,_../ 'E�( %;;.4.,,? -
Fans
,,? -Fans Evaporative Cooler Hoods Electric Furnace/Ducts Miscellaneous
Dryer Range Gaa Log Gas Water Htr. Solid Fuel/Wood Stove
0-10,000 CFM 10,000+CFM
Air Handling Units •
Refrigeration Systems/ 1-100M 101-500M 501-1,000M
Heat Pumps(BTU)
1,001-1750M Over 1750M
0-3HP 3-15HP 15-30H P 30-50H P 50+HP
Compressor
1-5 Outlets t1+Outlets
Gas Piping
I 1-100,000BTU 10...,.:00+BTU ee � /� -
Gas Fired Heating System /e)J� C.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 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 � /62
APPLICATION j,,/)OWNER OR G-7e.‹. -�`' tet._jitz.` DATE ,.:f/,'
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