1993, 06-01 Permit App: 93004148 Mechanical FixturesMECHANICAL PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS: 12019 E Grare
CITY/STATE/ZIP. Spokane Wa 99206
#7194
c5-24-93
PARCEL NUMBER: 6 (/ .. 1 7
OWNER: Tom Cunningham PHONE NUMBER: 926-6821
MAILING ADDRESS: Same
CONTRACTOR:
(Street)
Sturm Heating
MAILING ADDRESS: E 204 Indiana
(City/State)
(Zip)
LICENSE NUMBER: STURMI`210QF
PHONE NUMBER:
Spokane Wa
325-4505
99207
(Street)
MECHANICAL WORK
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
. >.�ff ` '
WOODSi'OV El,(NSERi��:mss"�m::a;�:�»:ka:"��.�sw<
GAS WATER HEATER
GAB EQUIBMENTad-6004 STLL(19Goa D.ES
GAS EQUIPMENT+100,000 BTU DUCTWORK)
BOILER/REFRIG 1-100M BTU
>901LE 601- 03 01: 00$1- 1
BOILER/REFRIG 501-1,000M BTU
6Q14Efiffig FilG�1 00004 0 ;E3'
BOILER/REFRIG +1,750M BTU
;HEAT P11tv1F';i& Al CONP,(314,g(37.6 S _
HEAT PUMP & AIR CONDMONER 3-15 TONS
yEA't WFtllhtPB A1RmCONDIbN�Fiy5 30>70NS .;Eat a,
HEAT PUMP & AIR CONDMONER 30-50 TONS
HEAT;PUMP.,*AB;CONMT40.ktr +SOTQhiS
VENTILATING FANS
EVAPORATI Vf-;C(70LEllSl«'3: > ;;.____...
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
CLOTHES DRYER
GAS LOG
FAtoogi tPNEOUS (NOTrrova ED".<FLs.gy ttAgg>yw-s
UNLISTED GAS APPLIANCE <400,000 BTU
1,U[;INSTcDti4AS:APPLIAiclegr 0,UOµ8T11.
USED APPLIANCE <400,000 BTU
USED;A??LlANC?a 00%Q BT{l, '.
AIR HANDLER <10,000 CFM
'AI R'HAN DLER ?J,O;000;;CF
NOTE: MINIMUM PERMIT FEE IS $35.00
(City/State)
(ZiP)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00
x25.00
x 10.00
x 12.00
x 15.00
x 1.00
x 12.00
x 20.00
x25.00
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
x15.00
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
1
12.00
1
1.00
1
12.00
1
h
}
SUBTOTAL
$ 25.00
PLUS: PROCESSING FEE
+S 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $ 50.00
SIGNATURE
Snokane County Division of Buildings