1985, 11-20 Permit App 00008815 Wtr SoftenerPLUMBING
MECHANICAL PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
Project # C� I
�J
Owner's Name Last First MI
wILSON STEPHEN C
Project Address (Street Name & Number)
Exxida3Gx E. 17711 Broadway /o V'EE —
City
Spokane
State
WA
Subdivision/Plat Name
/vC &PO 9-0 Gr245F1Q,
Assessors Parcel #
Lot
Block
Plat #
Applicant Stephen C. Wilson
p
Address
E. 17711 Broadway
City Greenacres
StateWA
Z99016
y
Phone 924-8838
Business Phone
Contractor
Soft Water Service Co.
Address
E. 25 Third
City Spokane
State
WA
99202Phone
455/8050
Contact
License #
Business Phone
Describe Work Installed Water Softener
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
15-3OHP
30-50HP
50+HP
Gas Piping
1-5Outlets
6+ Outlets
Gas Fired Heating System
1-100,000BTU
10v,:A0+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 Soft pater Service Co.
OWNER OR DATE
APPLICATION