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1991, 09-30 Permit App: 91006358 Furnace, Piping
MECHANICAL PERMITAPPLICATI6N FORM Information Worksheet JOB STREET ADDRESS: E • 1 8 3 0 9 Desme t CITY/STATE/ZIP. Greenacres , WA 9 9 0 1 6 PARCEL NUMBER: /g55/ 50t6 OWNER: Robert Erickson PHONE NUMBER: 9 2 2 -0 4 6 8 E. 18309 Desmet Greenacres, WA 99016 MAILING ADDRESS: (Street) • (City/State) (Zip) CONTRACTOR. Sturm Heating, Inc. LICENSE NUMBER: STURMI* 210 QF PHONE NUMBER: 325-4505 MAILING ADDRESS: E • DESCRIPTION 204 Indiana (Street) Spokane WA. 99207 MECHANICAL WORK ELECTRIC/DUCTWOR (SEPARATE SYSTEMS) W665§0911ttEgtiltiONNE.0.0Miiingi;M:?.:im. WATE'R.HEATER ,7 .• vs: GAS EQUIPMENT +100,000 BTU DUCTWORK) BoiLER/REFRIG 1-100M BTU 7:61,XPiffiggglia-500Og. BOILER/HEFRIG 501-1,060M BTU9OILERJIR FRG 1 0001-1 750M 13Th BOILEFII/REFRIG -F1,750M BTU HEAT PUMP & AIR CONDITIONER 3-15 TONS .. . HEAT PUMP 84.A IR. CONDITIONER 30-50 TONS HEAT PUMP & AIR CONDITIONER +50 TONS VENTLATING FANS TYPE 1 HOOD (PER OR 12' PTN. OF HOOD) CLOTHES DRYER. • NGE GAS LOG UNLISTED GAS <400,000 BTU ULIt4STED BTU USED APPUANCE<400O0 BTU :••••••.•••:••••••••,,,,^^”L' • -..7+•"*"''t "" " • • AIR HANDLER‹16,000-OF-M- ..... NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE (City/State) NUMBER OF UNITS X EACH UNIT = AMOUNT x10.00 = . x 25.00 = x10.00 = - x 12.00 = 1 2 . 0 0 x15,00 =.. x 1.00 = 1.00 x 12.00 = 11111 x 20.00 = 11111=1111 x25.00 = . x 35.00 = x 60.00 = . x 12.00 = x20.00 = x 25.00 = x35.00 = x60.00 = x10.00 = x10.00 = x 50.00 = x10.00 = x10.00 = x10.00 = x10.00 = x10.00 = . x 50.00 = x100.00 = x50.00 = x100.00 = x 12.00 = x 15.00 = SUBTOTAL $ 1 . 0 0 PLUS: PROCESSING FEE $ 25.00 EQUALS: TOTAL PERMIT FEE DUE 3 8 . 0 0 'Snnknno r,ntintv flikirriof PI rilrtinne