1993, 06-16 Permit App: 93004635 Mechanical Fixtures93- yo3S
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS: N 1703 Erigartnn
#72 65
6-10-93
o7- 2S -7Y
CITY/STATE/ZIP. Spokane WA 99212 PARCEL NUMBER: <75073• oo7 3
OWNER: Chuck Wachter PHONE NUMBER: ( con) q,)-7411
MAILING ADDRESS: 1703 N Edgerton Rd Sookane WA 99212
(Street) (City/State)
CONTRACTOR: .. Sturm Heating LICENSE NUMBER: STURMI*210QF
MAILING ADDRESS: E 204 Indiana
(Street) (City/State).
PHONE NUMBER: 325-4505
Spokane Wa 99207
(Zip)
MECHANICAL WORK
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WooDSTQVEI(NSE:B ft t\F<
GAS WATER HEATER
LOA.AS.<EQUIP:MENT: 100,"010337 liNGLi1U
GAS EQUIPMENT+100,000 BTU DUCTWORK)
PAS RIP;ING: traI LE .mss
BOILER/REFRIG 1-100M BTU
BO1LE{WREFEilC101=50 ���TUs`�"�''sztF<'=.�.�".:�a�x
BOILER/REFRIG 501-1,000M BTU
11).0Wili EFAIGs1 000:3 W s ,3
BOILER/REFRIG +1,750M BTU
FiEA7 P.UMP& 4IB,,. ,.CON E 0 iCNSys i m
HEAT PUMP & AIR CONDITIONER 3-15 TONS
gE1)S ygme MAIR,CONDgiONEE1=,. 5-30.T9NS:, C," �
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT PUMpw& AIR;CONDECiONSR+S;OSTON.^axa
VENTILATING FANS
,EYAPORAiNgTOopfA . vr" K
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
CLOTHES DRYER
GAS LOG
M(SGP,Ci A.LNEOUS (N,O.T'S vEREQ>EtSEWIate
UNLISTED GAS APPLIANCE <400,000 BTU
, irsis7gq GAS AP,,.eCiplegg. )0;000;8 Clau
USED APPLIANCE <400,000 BTU
USED-{►RPCIANCE„?400�U401. TU:=.s;
AIR HANDLER <10,000 CFM
AIR HANDLER?10;Oo0,C?P1.
Sy
NOTE: MINIMUM PERMIT FEE IS $35.00
(ZiP)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00
x 25.00
x10.00
=
=
1
=
$10.00
1
x12.00
x 15.00
x 1.00
x 12.00
x20.00
x 25.00
x 35.00
x 60.00
x 12.00
x 20.00
x 25.00
x 35.00
x60.00
x 10.00
x 10.00
x 50.00
x10.00
x 10.00
x 10.00
x 10.00
x 10.00
=
$12.00
=
2
=
$ 7 no
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
4
x 50.00
x100.00
x 50.00
x100.00
x 12.00
x 15.00
SUBTOTAL
$ 24.00
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL
FEE
PERMIT
DUE
_$ 49.00
SIGNATURE
Spokane County Division of Buildings