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 %%