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1993, 05-19 Permit App: 93003745 Mechanical Fixtures
MECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: s1.819 Eastern Rd CITY/STATE/ZIPSpokane_Wa 99217 PARCEL NUMBER: OWN ER:Sue Lumley PHONE NUMBER: 919-72n2 113-37q .ff-3efez.17 MAILING ADDRESS: same CONTRACTOR: (Street) Stuliii Heating MAILING ADDRESS' E 204 Indiana DESCRIPTION (City/State) LICENSE NUMBER: STURMI*210QF PHONE NUMBER: 325-4505 Spokane Wa 99207 (Street) . (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE ELECTRIC/DUCTWORK 1:::::35.6t.4101.6nTrr GAS WATER HEATER PARATE SYSTEMS) Iglaniata GAS EQUIPMENT +100,000 BTU DUCTWOR RAW BOILER/REFRIG 1-100M BTU "drAr7"."'"W.7.717"ff 8 80 BOILER/REFRIG 501-1,0 ::rVe `0,B0V 0, BTU BOILER/REFRIG +1,750M BTU 0,0•00000,1„,,,,,01:0v0WW,V,Mtkre,Mrv• 0.04.000., 1, ja jra11104 HEAT PUMP & AIR CONDITIONER 3-15 TONS 11141,TFIrr'. •O " igir3W"''" HEAT PUMP & AIR CONDONER 30-50 TONS VENTILATING FANS Tot y. PD• TYPE ! HOOD (PER 12' OR 12' PTN. OF HOOD) CLOTHES DRYER ‘.16kolt„W*.: " GAS LOG 1.t*bEtv rwj mf.v.. g • ..;katko UNLISTED GAS APPLIANCE <400,000 BTU isitatMTMOWI5' USED APPLIANCE <400,000 BTU PARIMMTIOTRANSIO AIR HANDLER <10,000 CFM Aex,' NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE NUMBER OF UNITS X EACH UNIT = AMOUNT x10.00 x25.00 = = = = = = = = = = = = = = = = = = = = = = = = = = 1 x10.00 x 12.00 x 15.00 X 1.00 x 12.00 x 20.00 x 25.00 • x 35.00 x 60.00 x 12.00 x 20.00 x 25.00 x 35.00 x 60.00 x10.00 X 10.00 x 50.00 x10.00 x10.00 x 10.00 x 10.00 x 10.00 x50.00 x100.00 x 50.00 x100.00 x 12.00 x 15.00 10.00 1 12..O() 2 2.00 , , s • = = = SUBTOTAL $ 24.00 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE =$ 49.00 I"%nks Ink, Pt tifilinric 5- JC3