1987, 04-14 Permit App: 87001000 Furnace, ACMECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
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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
OWNER OR A-47le``1- ric R. Anderson. Owner
APPLICATION
DATE April 14, 1987
Project N_ /Orb
Owner's Name Last First MI
BLAHUCZYN, SIG
Project Address (Street Name & Number)
East 13212 - 7th.
City
Spokane
State
Washington
Subdivision/Plat Name
.ilaCI4- L L I -ST
Assessors Parcel M22 -/Ii - 1 / 0
Lot 'L--
Block
'
Plat #
Applicant Anderson's Sheet Metal
Heating and Air Conditioning
Address
E. 13903 Trent Ave.
City
Spokane
State
Washington
Zip
99216
Phone
928-0960
Business Phone
tt ti
Contractor Anderson's Sheet Metal
Heating & Air Conditioning
Address
E. 13903 Trent Ave.
City Spokane
St i"ashington
Z9216
P18-0960
Contact
Eric R. Anderson
License #
ANDERSM158NZ
Business Phone
II It
Describe Work Install new Ruud counterflow Gas Furnace, 75,000 BTU and a Ruud
two ton Air Conditioner.
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/
Heat Pumps (BTU)
1-100M Ruud 2 Ton AL
Cond. 24,000 BTU
-101-500M
501-1,000M
1,001-1750M
Over 1750M
Compressor
0-3HP
3-15HP
15-30HP
30-50HP
50+HP
Gas Piping
1-5 Outlets
6+ Outlets
Gas Fired Heating System
1-100,000BTU
Ruud Gas Fur. n, 75,000 BTU
10,,,,;00+ BTU
Gas Furnace t9.00
Air Cond. 9.00
Proc. Fee 15.00
Total ;133.00
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
OWNER OR A-47le``1- ric R. Anderson. Owner
APPLICATION
DATE April 14, 1987