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