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1993, 04-27 Permit App: 93002953 Mechanical Fixtures
g3 -z953 MECHANICAL PERMIT APPLICATION FORM 3 s(635 6 315 Information Worksheet 04/26/93 JOB STREET ADDRESS: 723 S Conklin CITY/STATE/ZIP: Spokane WI Q9202 PARCEL NUMBER: OWNER: Hollis Barnett PHONE NUMBER: MAILING ADDRESS: ( SAME ) (Street) CONTRACTOR: Sturm Heating (City/State) (Zip) LICENSE NUMBER: STTTRMT*21 0 QF PHONE NUMBER: (509) 325-4505 MAILING ADDRESS: 204 E Indiana Avenue Spokane WA (Street) . (City/State) MECHANICAL WORK DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) ' ::I;irr:•-fs�:,��Cq.�t::�$?h:tic:.`.,`"f;r.}r.;r.•.:;}::;.}-{•.}•:.,:.:}:' } •1. ;• .I .:: :..m v;�h • Y;ri {:.,;};..:•'•:''{'tnt>v:::n^?�"tli l:?i:i:::it::<i::' GAS WATER HEATER .............. • GAS EQUIPMENT +100,000 BTU DUCTWORK) :I :}:�N .�'71`:'J 4 :;i R ods.' f�a U:,<; };}s> °<} :i?.}:x:>:;::•;Ns>•' ' =- :;•.W::.}: i:.ti::.,v: }: fn::v:w::.v xn ...vR.,4n,•:� CS.,�v~•ti'lmA-:nw,.w:n-.:+n..wvv:.v.:vnwn.:...v.:4v.. BOILER/REFRIG 1-100M BTU IMINIMMINROMMISIN • • BOILER/REFRIG 501-1,000M BTU [�{. • �Ivl:::l�:: BOILER/REFRIG +1,750M BTU •:.•.•.4::x:.vvw•:.:vnw.w::.:!,,:.rrxvxONwv dJdGW.vfiW.. x.•A�O.\:..w.W.:.:. :T.,: HEATPUMP & AIR CONDITIONER 3-15 TONS HEAT PUMP & AIR CONDITIONER 30-50 TONS rat:►•r--rw:.:rexx:i}�r!.<:.rtr.`aa•.:.-�� --' -- -- >.,•: •;vf{y •::yc ?x;; VENTILATING FANS !t:.::>.,.w?<n:.:-:;;::::.:v,,.tx..xkx-.h.:::.:::,,:t.:. TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) ::r: ' i .I •i: -:. �` .�`�:i':: F1 iii:.... }.:::::.'-isi..v:?:.•ni:.i,iyr}ii:;:.\:i~}::... n.f.... •. ...............: CLOTHES DRYER ic'.:'i5:::.ti4,:E.:�Ga;:.y':':.?}:.'�R�•�.:x;:;..�:i}::•}.h.r i'-'t5•f?...,.. '.,•_S•,'•; JC+:ti:}\i in,Lm':ttt w.tw: wr .v n..+:•:KCv4:�t.St-:+:.. •:rnbry 0.'.+:}+•. GAS LOG UNLISTED GAS APPLIANCE <400,000 BTU USED APPLIANCE <400,000 BTU AIR HANDLER <10,000 CFM y■.r�.1 t':4: •tii:4i:?: R.R 1AND:L!!..:.TiJ :>1:O•X.TI.M.i•Xi:.}?v'/?;':C:{�::�:•:'�`::iii:�-':-:• NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE 99207 (ZIp) NUMBER OF UNITS X EACH UNIT • = AMOUNT x 10.00 = x 25.00 = 1 X10.00 = $10 00 1 x 00 . 12$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 = x 10.00 = x 10.00 = x50.00 = X10.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x 50.00 = x100.00 = 2 $ 2.00 a < x 50.00 = x100.00 = x 12.00 = x 15.00 = SUBTOTAL $ 24.00 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE ..,.$ 49.00 Spokane County Division of Buildings .._nnn - A \A/A AAAQA /GAA\ Ace Oe7C