1992, 03-23 Permit App: 92001738 Water Heater, Piping:•
MECHANICAL PERMIT APPLICATION FORM.. •
Information Worksheet
JOB STREET ADDRESS: ! 14124'1E.'Boone.
CITY/STATE/ZIP: Spokane, WA 99216
OWNER' Gary Mitchell
•
-1-738
PARCEL NUMBER
PHONE NUMBER:
WA 99216
MAILING ADDRESS: 14124 E. Boone Spokane,
CONTRACTOR:
(Street)
Sturm Heating, Inc.
MAIUNG ADDRESS: E •
DESCRIPTION
204 Indiana
(Street)
(City/State)
LICENSE NUMBER: STURMI*
PHONE NUMBER: 325-4505
Spokane WA. 99207
(City/State) (Zip)
. gip)
210 OF
MECHANICAL WORKSHEET/FEE SCHEDULE
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
�,..;.,wM_,,,w..
LW.O,� Opp,=TbVE!(N�SEq'T:..;�a
GAS WATER HEATER
pASIEQUIPME.a 1161139,000. B i11.(1 >: CLilq.
GAS EQUIPMENT+100,000 BTU DUCTWORK)
;GAS„PIPI,NGT, EAS •, fl,U„mT,l;;, Z)
BOILER/REFRIG 1-100M BTU
LERIREPRIG "0 " a a ' M
BOILER/REFRIG 501-1,000M BTU
60ILERiR A IG sibagi 750M'BTU
BOILER/REFRIG +1,750M BTU
114`I' PUMAt e i b 1TID OVER 0 `3 TONS f °
HEAT PUMP & AIR CONDITIONER 3-15 TONS
t OMS WAYR1ONDIT ONE.R 15 ;3rg
HEAT PUMP & AIR CONDITIONER 30-50 TONS
(HF1+7 PUMP A1'R/CO , DITlO1SER +50 TOAs
VENTILATING FANS
APOHAv T k „O 1193S2,1
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
WEVHOOD
CLOTHES DRYER.
S
RANG.
GAS LOG
iVEREOELS EWIER a
UNUSTED GAS APPLIANCE <400,000 BTU
I;t..STRt3 GAS'A. LIAN.CE;f i?b' 000.6TU
USED APPUANCE.<400,000 BTU
y ai
gSF�YI,iPPliif.+tilC >;0.000a87i•3s<•.„
AIR HANDLER <10,000 CFM '
LAIR i3AN AVE10 l.12. 0}GF
NOTE MINIMUM PERMIT FEE IS $35.00
SIGNATURE
Spokane County Division of Buildings
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x10.00 =
x25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x 1.00 =
x12.00 =.
x20.00 =
x 25.00 - ii.
x 35.00 =
x60.00=•.
x 12.00 =
x 20.00 =
x 25.00 =
x35.00 _
x60.00 =
x10.00 =
x 10.00 =
x 50.00 =
x 10.00 =
X 10.00 =
x 10.00 =
x 10.00 =
x10.00 :,
x 50.00 =
x100.00 =•
x50.00=.
x100.00 = .
x12.00 = `.
- -
1
10.00 -
1
1.00
-•«
:t .-Ltt. .7s_.;t?q:1-6
......-•
•
. .• . -
X15.00 =
SUBTOTAL
$ 11.00
PLUS: PROCESSING FEE i
+ $ 25.00'
EQUALS: TOTAL PERMIT
FEE DUE
_ $ 36.00