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1986, 08-18 Permit App: 00012731 Furnace, Piping MECHANICAL PERMIT APPLICATION WORKSHEET PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND • Project If J1-13 / Owner's Name Last First MI Sahlberg Bill Project Address(Street Name&Number) E. 9619 Ninth City State Subd / t Name Spokane WA > E>i?w� > Assessors Parcel I r-/ 6.-/ o _ I[,/ Lot e Block4 [Put. Applicant f� Address City a. State Zip I Phone -- Business Phone Contractor Address Air Design Heating and Refrigeration, Inc. _ E. 1807 Francis City State Zip Phone Spokane WA 99207 487-4328 .Contact Licenser Business Phone Barbara AIRDEI*161JW 487-4328 Describe Work Install an 80,000 BTU gas furnace , $27.00 Fans Evaporative Cooler Hoods Electric Furnace/Ducts Miscellaneous Dryer Range Gas 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 0-311P 3-15HP 153014P 30-50HP 50+HP Compressor 1-5 ,ae °i 0:,,:thr,a Gas Piping X 1-100,0008111 10v,:A0+BTU Gas Fired Heating System 80,CCO BTU gas furnace 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 /z APPLICATION/ OWNER OR._ ,Z✓ — DATE %%