1992, 09-01 Permit App: 92007483 Mechanical#6331
9-1-92
MECHANICAL PERMIT
APP.LiCATiON FORM
Information Worksheet
JOBSTREETAODRE;SS-- I .9723 E. Crossbws'-C
CI-n(1STATE0P: Sno k a n P wA 9 9 (16 PARCEL NUMBER: '
OWNER= David ��+ �� PHONE NUMBER: 926--1226
MAILING ADDRESS' X723 E. Crossbows Ct ' Spokane WA 99206
(Street) (City/State) (zip)
CONTRACTOR: Sturm Heating, Inc'. LICENSE NUMBER: STURMI* 210 OF
PHONE NUMBER: 325-4505
E. 204 Indiana Spokane WA. 99207
MAILING ADDRESS: P
(Street) (CitylState) (zip)
MECHANICAL WORKSHEErIFEE SCHEDULE
OESCRIPTIOt1-
��-(OJpUCTWORK (SEPARATE SYSTEMS)
OAS WATER HEATER
11, A.: EUIPM.
GAS EQUIpMENT+100.000 BTU DUCTWORK)
1301LEPJREFRIG 1 100M BTU
BOILFRIREFRIG 501-1.00OM .BTU
SOILER/REFRIG f1.750M BTU'
£HEATP:
HEAT pUIJP & AIR CONDITIONER 3-15 TONS
EAIAIMP:A`fR�O OIx�O Ef3Ry5-rT
HEAT PUMP & AIR CONDMONER 30-50 TONS'
EA7 11MP CON -O lm +�0�..
VENTILATING FANS
{a?DRATl. l=®0. flS
TYPE I HOOD (PER 12' OR 12' PTN..OF HOOD)
CLOTHES DRYER.
GAS LOG L'
UNLISTED GAS APPUANCE <400,000 BTU
USED APPLIANCE <400.000 BTU
ILJ�ARRNP<''t1J•�
4M
0.
0.
fflRAN0 CC.:0FF0hM0S
,.,:r..:;�rw+?<f<►
NOTE MINIMUM PERMIT FCC iS S35.W
SIGsA URC- -- - _,-.-
NUMBER
OF UNITS
X EACH
UNIT
=AMOUNT
• 1
1
x 10.00 =
x 25.00 =
X10.00 =
x 1200
x 15.00 =
x 1.00 =
x 12.00 = .
x 20.00 =
x 25.00 •_ :g
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 =
x 50.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 -- .
x 50.00 =
X100.00
x 50.00 = .
X100.00 = .
X 12_00 =
x 15.00 =
$10.0$
$12.00.
2
$2.00
-
-
-•
SUBTOTAL
S 24.00
PLUS: PROCESSING FEE
EQUALS: TOTAL PERMIT
FEE DUE
=S 49.00