1987, 02-06 Permit App: 87000277 Furnace MECHANICAL PERMIT APPLICATION WORKSHEET •
PLEASE P-RINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
Project N 12 7 7
Owner's Name Last First MI
Olbricht James
Protect Address(Street Name&Number)
11324 E. 12th
City State Subdivision/Plat Name
Spokane Washington
'
Assessors Parcel/ Lot Block Plat r
1--l 5(E.3- �j
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Applicant Address
James Olbricht 11324 E. 12th
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City i State to t "p Phone
Spokane lWa. I � 99206 922-3253
Business Phone
Contractor Address
Sturm Heating, Inc. E. 204 Indiana
City State Zip Phone
Spokane WA 99207 325-4505
Contact License II Business Phone •
' A4577''Sherry STURMI* 210 QF 325-4505
Describe Work
Install gas furnace $24. 00
() Furnace/Ducts Evaporative Cooler Hoods Electric Miscellaneous
( Dryer Range Gas Log Gas Water Htr. Solid Fuel/Wood Stove
CAAir Handling Units 0.10,000 CFM 10,000+CFM
Refrigeration Systems/ 1-100M 101-500M 501-1,000M
Heat Pumps(61(J)
1,001-1750M Over 1750M
CC.T.areaacr 0-3HP I 3-15HP I15-30HP 30-50HP I50+HP
I I
1-5 Outlets 6+Outlets
Gas Piping
Gas Fired Heating System 1-100,000BTU 10v,:A0+BTU
9 . 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 APPLICATION
OWNER OR .DATE