Loading...
1992, 07-29 Permit App: 92005832 Water Heater, PipingMECHANICAL PERMITAPPLICATION FORM Information Worksheet JOB STREETADDRE;SS' •'! 2409 N. Center Road- .-, :y<. ;<„'::. •:: CITY/STATE/ZIP. S kan WA 99206 PARCEL NUMBER: "''•• OWNER: Stye Stenson PHONENUMBER. 924-7366 MAILING ADDRESS' 2409 N. Center Road Spokane WA 99206 (City/State) (Zip) P) STURNI* 210 QF PHONE NUMBER: 325-4505 204 Indiana Spokane WA. 99207 #6195 7-23-92 (Street) CONTRACTOR: •Sturm Heating, Inc'. MAILING ADDRESS'_ E. DESCRIPTION • ELECTRIC/DUCTWORK (SEPARATE SYS I EMS) ODS3V GAS WATER HEATER (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE '�s''•ai.4iwxF,ax GAS EQUIPMENT -000.000 BTU DUCTWORK) •GASStPIP��NG`{�Asflt1T ` • d wo; BOILERIREFRIG 1-100M BTU GIUERJ 1EFR I BOILER/REFRIG 501-1,000M BTU . ..r .:;: . 8010ER/BEFRIG11,00 3' 175 M t <a � s yt if BOILER/REFRIG+1,750M BTU ' • E22 MP.: RCO DRIO ER0: IONS a, HEAT PULP &AIR CONDITIONER 3-15 TONS } ffii::(017017: ON.I2I IO , EF3Mge3ft0 HEAT PUMP & AIR CONDITIONER 30-50 TOJ' S' x •13MP.&Y t� GON_DIeT;1O.NE•,+50 o S_.,•,� "."" VENTILATING FANS_ 'AP,D,,,RAT��'COOLEflS•�;���:�,'n�IsrF�' �'�'f;,�a��r.'r���-.3:: TYPE l HOOD (PER 12' OR 12' PTN. OF HOOD) amu: CLOTHES DRYER. Ta u,. '�•i. u�. �..,. ^.s F%[<(?;31;s�a::`.Y�1:^ .l4 a S' Yi-o.^. r tti. L:.:,',k -•gym>�.^ •..� .,rv..:h."IFAS.':Se"p,.za:�..� �t;�sy, GAS LOG - • tscat w atIS OfAGOVEREDigtiSE!N 11 (E: + r . UNUSIEUGAS APPLIANCE <400,000BTU ' l)INSTeDrA R_P. AN�GE.100;009131134 <<:(. ; . USED APPUANCE<400,000 BTU SEDrAAP.(YANC5>40, .0' ..c a)4Wirx?t;,,�• ...F; vip NI .Vafr AIR HANDLERd0A00CFM ' IRI i ©t R 0, to tai •t0 �+ NOTE: MINIMUM PERMIT FEE IS 535.00 SIGNATURE.__ -- NUMBER OF UNITS X EACH UNIT =AMOUNT x10.00 = ^ x 25.00 = • • x 10.00 = $1p . 00 -.• - x12.00 = x 15.00 = x 1.00 = $4.00 x 1200 = , .. x20.00 =.. x 25.00 ,= ,;.' x 35.00 =' x60.00 =". x 1200 = x 20.00 = x25.00 = ' x35.00 = x60.00 = x 10.00 = x'10.00 = x 50.00 = x 10.00 = x 10.00 = x 10.00 = x 10^00 = x10.00 -L--.' . x 50.00 = x100.00 = x50.00 = . x100.00 c... • x1200 = x 15.00 = SUBTOTAL 5 14.00 PLUS: PROCESSING FEE + 5 25.00 EQUALS: TOTAL PERMIT FEE DUE = 5 39.00 •