1984, 09-25 Permit App: 00002638 Furnace 0- MECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
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1 Owner's Name (Last) (First) (M) Department Use Only
_ Artistic Construction Project No.
2 Project Address(Not Mailing Address) Space Zip
r�(nGl , - E. 129 - 12th. 99216
3 City/Community State Subdivision/Plat Name
Spokane Wash.
4 Assessor Parcel No. Lot Block
16 Contractor Firm Name Street Address
Anderson's Sheet Metal - Heating & Air Uonditioning E. 13903 'Trent Ave.
17 Zip City State Phone
99216 Spokane Wash. 1 ( 509 ) 928-0960
18 Contact Person License No. Phone if different than above
Eric H. Anderson A1'jDERSH213NG
8 Owner/Agent(if different than#1 above) Business Address
9 Zip City State Phone
( )
15 Describe Work:
New X Addition/Alteration ❑ Replace/Repair ❑
10 Applicant Name Street Address
Anderson's Sheet Metal - Heating & Air Conditioning E. 13903 Trent Ave.
11 Zip City State Phone
99216 Spokane (a.sh. 1 ( 509 ) 928-0960
8 VENT: Fan(s): Evap Goole (3): Hood(s): Duct(s)1: x Miscellaneous:
10 APPLIANCE: Wood Stove/
Dryer(s): Range(s): Gas Log(s): Solid Fuel: Gas Water Heater(s):
H
11 UNIT HEATER(S): Wall Mount: Y N Floor: Y N Suspended: Y N
W
a 12 AIR HANDLING: 10,000 CFM or less: More than 10,000 CFM:
5
O
W 13 REFRIG SYSTEM BTU: 1-100M: 100-500M: 500-1000M:
LL
O
W 14 1000-1750M: Other: Pressure Vessel(cu.ft.):
CL
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I—
a 15 COMPRESSOR/HP: Lessthan3: 3-15: 15-30: 30-50: 50+:
W 16 GAS PIPING SYSTEM:Number of outlets:
CO
D 17 HEATING SYSTEM:1-100,000 BTU: Kind 20 W Electric 100,001+ BTU:
Z
Furnace.
18 TYPE FUEL SOURCE: Electric X ;i Gas 0 ; Oil 0 ; Coal ❑ ; Wood D ; Solar 0
19 TYPE DISTRIBUTION: Forced Air ; Radiant ❑ ; Heat Pump
1* Number of separate zones for any heating, A/C or air handling system.
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 i %e .4142"07E/ DATE 9_25-84.
hi4ic H. Anderson, Owner