1988, 06-06 Permit App 88001440 ACMECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
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Owner's Name Last Fire M7
Rankin Robert
Project Address (Street Name & Number
E. 11110
-
Broadway
City
Spok
State
Subdi n!Plat Name .
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Assessors Paroel i / 6S7 G"—
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Black
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' Applicant
Robert Rankin
Add ens
E. 11110 Broadway
City
Spok
State
Wa.
Zip
99206
Phone
926-8018
Business Phone •
-
Contractor
STURM HEATING, INC.
Add ens
E- 204 Tnciiana
City
Spokane
State
WA
Zip
•99207
Phone
325-4905
Contact
Sherry
License 0
STURMI* 210 OF
Business Phone
325-4505.
Describe Work
Tnstal1 air-conditioning
-
$24.00'
Faro
Evaporative Cooler
Hoods
Electric Furnace/Ducts
Miscellaneous
Dryer
Range
Gas Log
Gas Water Htr.
Solid FueU Wood Stove
Air Handling Units
0-10,000 CFM
10.000+ CFM
Refrigeration Systems!
Heat Pumps (BTU)
1-100M
9' O O
101-500M
501-1,000M
1,001-1750M
Over 1750M
Compressor
O-SHP
3-15HP
15-30HP
30-50HP
50+HP
Gas Piping
1-5 Outlets
6 + Outlets
Fired Heating System
000Gas
"�•" U
10.,,:.00+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
APPLICATION
OWNER OR DATE