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1988, 07-11 Permit App 88002062 Pool Htr
MECHANICAL PERMIT APPLICATION WORKSHEET ,9U PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTD, ✓`�_' ,5[- JD • (044 ce2,7i.„ ),c C�i Project K Owner's Name Last,/ � First �i - MI Project Address(Street Name&Number) /3` , City State 7v( (./ Subdivision/Plat Name AsseeaOra ParcelI Lot Block Plat M Applicant Address City State Zip Phone Business Phone t Contractor Address HEAT TRANSFER, ! City N. 1008 RUBY State Zip Phone SPOKANE. WA 99202 Contact 509 328,3400 License I Business Phone Describe Work f--21-t--A-a....i , / kui:A.,y,,,_, , ✓ , © �._ -- Fans Evaporative Cooler Hoods ElectrY Furnace/Ducts Miscellaneous Dryer Range Gas Log Gas Water Htr. Solid Fuel/Wood Stove Air Handling Unite 0-10,000 CFM 10,000+CFM Refrigeration Systems/ 1-100M 101-500M 501-1,000M Heat Pumps(BTU) 1,001-1750M Over 1750M Compressor 0-3HP 3-15HP 15-30HP 30-50HP 50+HP 1-5 Outlets 6+Outlets Gas Piping Gas Fired Heating System -100^^^3TU I 1 ,,,,;CC+BTU 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 - q APPLICATION ,, OWNER OR `- DATE - / -i/ "