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1992, 10-22 Permit App: 92009233 Mechanical Fixtures
�2- Q,23 • 31 249 b MECI-fANICAL PERMITAPPUCATION FORM - C40`.:1 JOB STREET ADDRE �S' /N� 6r74' P " CITE'/STATE/7_IP: OWNER: »/PJ iY1 - - PHONENUMBER: 9z -,-;r799 92 LL Information Worksheet " 992tiO PARCEL NUMOFI3; 4/6"94.•• I MAILING ADDRESS: (Street) CONTRACTOR: "Stui-m Heating, Inc'." MAILING ADDRESS: E. 204 Indiana ' (Street) (City/State) (Z.rp) UCENSENUMOER: STUMP: 210 QF PHONE NUMBER: 325-4505 Spokane WA. 99207 (City/State) (Zip) MECHANICAL WORKSHEEI/FEE SCHEDULE DESCRIPTION ELECTFIICIDUCTWORK (SEPARATE SYSTEMS) 0S�;Ov 0 NsatelMatiMX GAS WATER HEATER GL- T^T:!laty; GAS EQUIPMENT+100,000 BTU DUCTWORK) GAS PIPING(FAO-IWTi�E711fi',S�%i?� lr�Rn� BOILERIRE-FRIG 1-100M MU Uh� rw .©I IiERfR F_fTd010: x.86 BOILER!REFRIG 501;71 ,OGOM BTU. SO (IERLREFRIGUI90g`=??7SOM,4BT.t7.t,,:. BOILER/REFRIG+1,750M BTU E1TE,,a meavR tCONDfxIONERTOTfJNs).,..ru,:th-75 • HEAT PUMP CONDITIONER 3-15 TONS { - �` EA7Pl1MP;TX1F ::51 3 1 TORJO,NE 5 30 T I0Sr-=:;2;a0�:c HEAT PUMP & AIR CONDITIONER 30-50 TONS - 3,;t GON01.1i©NE•t-S p SE'q� Yk;l , EAT UMP_ P tf4= VENTILATING FANS "APOF?faT1 E�COOOLEflSc�?•:;;'�°.'s;: lr,.`-1�;�{!2'rt;'�t'','--y'= "`> TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) rYPEA He©la x CLOTHES ORYtH. NGE� EPkv$ GAS LOG -- se St: C U Ova AEBiELSEW(:IERE- 4• UNUS I EU GAS APPLIANCE <400,000 U I U IITOST .051.613 U6N-GE; Q00-;013:0 11 : _ h` -'ii USED APPUANCE<400,000 BTU SEOrAAP.(. p}1( F>4 :000 STiJ '.11: :rfi4tee t. I Ll . �..�r, 1�`T"\\tiF'T.i •moi AIR HANDLER <10,000 CFM ' c�'^'t0;000 CFM:- a.. �l,:,c�� f-'="0-• 1A1RhTA'NOLER �_.:_. „'rr:=t;..,.:. � .. -t: Gas rurnctL NOTE MINIMUM PERMIT FEE IS 535-00 SIGNATURE__ NUMBER OFUNIiS X EACH UNIT =AMOUNT x 10.00 = x 25.00 = x10.00 = - /p_4s -- x 12.00 x12.00 = x 15.00= x 1.00 = x12.00=. x 20-00 = -- x25.00 = v. x35.00 =- x60.00= - x 1200 = x20.00 =_ x25-00 7- x 35.00 x35.00 = x 60.00 = x 10.00 = x10-00 = x 50.00 = x 10.00 = x 10.00 = x 10.00 = x10.00 = X10-00 :11--‘y x 50.00 = x100.00 = x 50.00 = x100.00 a-.- x1200 = /2.02-- 02--x15.00 2-°--- - ." ' • -- x15.00 = SUBTOTAL S 2y a? +-S 25.00 PLUS: PROCESSING FEE - EQUALS: TOTAL PERMIT FEE DUE _ = S w --