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1990, 11-01 Permit App: 90005833 Furnace
MECHANICAL- PERMIT APPLICATION FORM Inf'ormation Worksheet JOB STREET ADDRESS: S. 43.14 narcy Rd. CITY/STATE/ZIP: S=nkana, wa gg2n6 PARCEL NUMBER: 'S E� z-/ r_z�_ OWNER: Ken Courchaine PHONE NUMBER: 924-5545 MAILING ADDRESS: SAME (Street) (City/State) (Zip) CONTRACTOR:-, Sturm Heating. Tnc_- LICENSE NUMBER:STURMI*210 OF PHONE NUMBER: 325-4505 MAILING ADDRESS: E. 204 Indiana Spokane, Wa. 99207 (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER ( X EACH DESCRIPTION NUMBER UNITS UNIT I = AMOUNT DUCTWORK SYSTEM_ _ _ _ _ _ _ _ _ _ _ WOODSTOVE/INSERT _ _ _ _ _ _ _ _ _ - _ _ GAS WATER HEATER_ _ _ _ _ _ _ _ _ _ _ _ HEATING EQUIPMENT <100,000 BTU _ _ _ _ _ HEATING EQUIPMENT +100,000 BTU _ _ _ _ _ GAS PIPING (1 - 4 OUTLETS) _ _ _ _ _ _ _ GAS PIING (5 OR MORE. EACH:)_ _ - _ -x REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP-)x REFRIG 101-500M BTU_ _ _ _ _ _ _ _ _ _ _ REFRIG 501-1,000M BTU_ _ _ _ _ _ _ _ _ _ REFRIG 1,001-1,750M BTU_ _ _ _ _ - - _ - REFRIG +1,750M BTU _ _ _ _ _ _ HEAT PUMP & AIR CONDITIONER 0-3 TONS _ _ HEAT PUMP & AIR CONDITIONER 3-15 TONS _ HEAT PUMP & AIR CONDITIONER 15-30 TONS _ HEAT PUMP & AIR CONDITIONER 30-50 TONS _ HEAT PUMP & AIR CONDITIONER +50 TONS VENTILATING FANS _ _ _ _ _ _ _ - - - - - EVAPORATIVE COOLERS_ _ _ _ _ _ _ _ _ _ _ TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) TYPE II HOOD _ CLOTHES DRYER_ RANGE------------------ GAS LOG_ _ _ _ _ _ _ _ _ _ _ � _ MISCELLANEOUS (NOT COVERED ELSEWHERE)__ _ _ _ _ UNLISTED GAS APPLIANCE <400,000 BTU_ _ _ UNLISTED GAS APPLIANCE >400,000 BTU_ _ _ USED APPLIANCE <400,000 BTU_ _ _ _ _ _ _ USED APPLIANCE >400,000 BTU_ _ _ _ _ _ _ AIR HANDLER <10,000 CFM _ _ _ _ _ _ _ _ AIR HANDLER >10,000 CFM _ _ _ _ _ _ - - x$10.00 = x 25.00 = x 10.00 = x 12.00 = x 15.00 = x �,oa = x 1.00 = 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 = 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 = i j ' ' 1 10.00 1 12.00 2 2.00 _ - SUBTOTAL $24.00 PLUS: PROCESSING FEE + $ 25.00 EQUALS:.TOTAL PERMIT NOTE: M NIMUM PERMIT FEE. IS $35.00 ;FEE DUE = $49.00 SIGNATURE ; Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675