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1985, 10-28 Permit App: 00008679 Heat Pump MECHANICAL PERMIT APPLICATION WORKSHEET PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND P. Project# Owner's Name Last First MI HANSOM CAROL Project Address(Street Name&Number) E. 15220 - 13th. City State Subdi 'sion/Plat Name r veradale Washington ( I4&- i ( IDEC SC_, r'-1 Acc? Assessors Parcel# Lot Block Plat# 2-9644 - 31c3 Applicant Anderson's Sheet ! tal Address Heating & Air Conditioning E. 13903 Trent Ave. City State Zip Phone Spokane Washington 99216 1-509-928-0960 Business Phone Contractor Anderson's .Sheet i"letal Address Heating & Air Uonditioninc E. 13903 Trent Ave. City State Zip Phone Spokane Washington 99216 1-509-928-0960 Contact License# Business Phone Eric R. Anderson ANDEtS1,4158a 1-509-928-0960 Describe Work Installation of a new Kool-Fire 2IH13 2 I'm Ga.g Heat Pump to exi sting heating pqs tam. Fans Evaporative Cooler Hoods Electric Furnace/Ducts Miscellaneous Dryer Range Gas Log Gas Water Htr. Solid Fuel/Wood Stove - 0-10,000CFM 10,000+CFM Air Handling Units Refrigeration Systems/ 1-100M (He at Pump) 101-500M 501-1,000M Heat Pumps(BTU) K001—Fire 24 HB 2 Ton 1,001-1750M Over 1750M Compressor 0-3HP 3-15HP 15-30H P 30-50H P 50+H P 1-5 Outlets 6+Outlets Gas Piping 10' of 1" Gas Fired Heating System 1-100,000BTU 10,,,00+BTU Heat Pump $6.00 Gas Piping 2.00 t'ermit Fee 10.00 l Min. Total $20.00 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 OFAPPLICATION 10-28-x, OWNER OR it1;:43,�//_, __ .DATE