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1992, 09-14 Permit App: 92007798 Mechanical Fixtures
c MECHANICAL PERMIT APPLICATION FORM - Infonnafion Worksheet JOB STREET ADDRESS: { S. 1015 Bowdish; - #6379 9-11-92 CITY/STATE/71p' anim WA 999(16 `. - - PARCE-NUMBER_ " OWNER: Roger Melvin - S. 1015 Bowdish Spokane WA MAILING ADDRESS' PHONENUMBER:" 922-8223 99206 (Street) 'Sturm Heating, Inc. CONTRACTOR' " MAILING ADDRESS' E- 204 Indiana • (City/State) LICENSE NUMBER: (LP) STURMI* 210 QF PHONE NUMBER: 325-4505 Spokane WA. 99207 CSP) - ' (Street) (City/State) MECHANICAL WORKSHEErf-tt SCHEDULE DESCRIPTION • ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) "00OSTOd. INS R‘ GAS WATER HEATER 000 EG.WIPM T GAS EQUIPMENT+100.000 BTU DUCTWORK) •GAS • QUiii- M w BOILER/REFRIG 1-100M BTU PL•.9.. .�i),WF .a3fr„� oZC>?nsys_„_ ac.Yia ;fa+aqY� Y' 6G.,0•• :OIaEPfRE t):ry 8 e �f� BOILER/REFRIG 501-1,000M BTU - .: • DEFt/REFRI N92 _ 337401td 04el.sv rtte BOILER/REFRIG 4-1,750M BTU ' - CO DIT1O ER E1EA7@fJNSsLvwa.<. MP. R HEAT PUMP &AIR CONDITIONER 3-15 TONS Nal:gAR1�0 DN 1? ONER51s. aro HEAT PUMP & AIR CONDITIONER 30-50 TONS - VENTILATING FANS Appgfa'�'�E>•COOOLxEAS� �:.; TYPE (H000 (PER 12 OR 12' PTN. OF HOOD) peltHobo L - .RM CLOTHES DRYER. �RArY� GAS LOG • CaQ'd"aR iftitatcr cU. t Oirs�C*,�C3,v:ERG3;EZ!SE gugag,:`j UNUS I Er) GAS APPLIANCE <400,000 BTU t14STWiGAS�i$P. QNCEi>00m00 8 'itt t USED APPUANCE<400,000 BTU S61r1i13P:L1AN0,Oii��VVF.,...;.�,f�,u:�r•"�itt,-..h� %�'L'ii!; AIR HANDLER <I0,000CFM ' 9001.° k .r a".... SEP1 4‘ trig NOTE MINIMUM PalatI9drstsWETY. SIGNATURE_ NUMBER OF UNITS . X EACH UNIT =AMOUNT x10.00 = x25.00= x10.00 = x12.00 = • 1 $10..00--- 1 $12.-00 x 15.00 = x 1.00 = x1200 =. x 20.00 = -- x25.00 ._ ,;. x35.00 =' x60.00 ='- x 1200 = x20.00 = x 25.00 = x35.00 = x 60.00 = x 10.00 = x10.00 = x 50.00 = x 10.00 = X 10.00 = x 10.00 = x 10.00 = X10.00 =y' x 50.00 = x100,00 = x 50.00 = - x100.00. ..- --x1200 = - x1200 2 $2.00 `- - - -.. - - - . .. - ' - • - . - - - x 15.00 = SUBTOTAL S 24.00 PLUS: PROCESSING FEE' • 4- S 25.00' EQUALS: TOTAL PERMIT FEEOUE =5 49.00