1987, 03-03 Permit App 87000507 FurnaceMECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
Owner's Name First Mt .i
Protect Address (Street Name 8" Number) `%� •
City
State ' '/
Subdivision 1Plat Name ,
Assessors moil
Z "—. Ic I z
Lot 1.13lock
Platt
Applicant
Address
City 1
State I
I
Zip
1
Phone
Business Phone
Contractor .
'IFAl TRANSFER, INC
Address
City N 1tARi FW1iT
SPOKANE, WA 99202
State
Zip
Phone
contact i.l09) 328-34ee
,
License 1
WE' 7- —/-- /Y8 Ai
Business Phone
Describe Work
Fans
Evaporative Cooler
Hoods
Electric Furnace/Ducts
Miscellaneous
Dryer
Range
Gas Log
Gas Water Htr. /
Solid Fuel/ Wood Stove
Air Handling Units
0-10,000 CFM
10,000+ CFM
Refrigeration Systems/
Heat Pumps (BTU)
1-100M
101-500M
501-1,000M
1,001-1750M
Over 1750M
Compressor
0-3HP
3-15HP
15.90HP
30 50HP I50
+ HP
Gas Piping
1-5 Outlets
6+ Outlets
Gas Fired Heating System
1-100,000BTU
J6, e e O
10.0300
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 OFF jO,.jr'` APPLICATION
OWNER OR (1 .DATE