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1987, 04-27 Permit App 87001122 FurnaceMECHANICAL PERMIT APPLICATION WORKSHEET PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND Project # ) 17 ) !� f ( Owner's Name Last First MI NOON , GAY A . Project Address (Street Name & Number) E. 7921 INDIANA o----7 City SPOKANE State WASHINGTON Subdivision/Plat Name � v`� AuFA( ( j Assessors Parcel # % 4 3 1 6 1 /n 1 Lot ny) Block Li Plat # Applicant NORCO HEATING & AIR Address E. 5051 TRENT City SPOKANE State WASHINGTON Zip 99212 Phone 534-4975 Business Phone Contractor NORCO HEATING & AIR Address E. 5051 TRENT City SPOKANE State WASHINGTON Zip 99212 Phone 534-4975 Contact TERRI OR HERB License # NORCOHA17O RZ Business Phone Describe Work INSTALLING A GAS FURNACE 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 15-30HP 30-50HP 50+HP Gas Piping 1-5 Outlet 6+ Outlets 1-100,000BTU 10u, 00+BTU Gas Fired Heating System 1 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 OVJAA 41' � G� APPLICATION / i OWNER ORDATE T'���,/�7