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1991, 08-26 Permit App: 91005322 Mechanical FixturesS i3 -/yr MECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: E. 7311 Fairview PARCEL NUMBER: 07-00. OWNER: KENNETH SECREST PHONENUMBER: 926-3536 N. 4902 Northwood spokane, Wash. 99212 CITY/STATE/ZIP: Spokane, Wa. 99212 MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: Sturm Heating, Inc. LICENSE NUMBER: STURMI* 210 QF PHONE NUMBER: MAILING ADDRESS: E. 204 Indiana Spokane WA. 99207 (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) ;WOODSTOVE/INSERTi'; GAS WATER HEATER GAS EQUIP:.t.f N4Trc1t30>000, grU:(INCL'UD,ES : '.;:1.'s:::l_"..._ GAS EQUIPMENT 4-100,000 BTU DUCTWORK) PIPING EA.OUTLE, : BOILER/REFRIG 1-100M BTU SOII ER/REFAIG 101-5 M<BTD;:" BOILER/REFRIG 501-1,000M BTU BOILER/REPRIG;10.00:1-7_',750M ETU BOILER/REFRIG +1,750M BTU ' HEAT'PUMP & AIR: CONDITIONER 0 -3 -TONS„ HEAT PUMP & AIR CONDITIONER 3-15 TONS HEATPUMPs&;AIR.:CONDITIONER 15-30:.TONS . : HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT.PUMP`& AIR: CONDITIONER -1:50 TONS. VENTILATING FANS `EVAP...O RATIV:ECOOLERS::.;_. TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) CLOTHES DRYER. RANGE GAS LOG ISLE G&NEOUS.:.(NO.',f COVERED -ELSEWHERE UNLISTED GAS APPLIANCE <400,000 BTU ILINSTEDAS.APPL; NCE>400;000:8TU` USED APPUANCE <400,000 BTU Psg2. +PP_OANG >400 OQQ;87 AIR HANDLER <10,000 CFM AIR HANDLER>10A6::CEM, NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE NUMBER OFUNITS. X EACH UNIT = AMOUNT x 10.00 = x 25.00 = x10.00 = 10.00 x12.00 = 12.00 x 15.00 = x 1.00 = 2.00 x 12.00 = x20.00 = -x 25.00 =- .x35.00 = x60.00 = ' x 12:00 = x 20.00 = x25.00 -- x 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 = x50.00 = _ ' x100.00 = ;x12.00 = . x-15.00 =" SUBTOTAL $74 fin PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE =$ 49.00 Spokane County Division of Buildings