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1992, 07-14 Permit App: 92005250 Water Heaterqs°11 • ()5� A� ,n5�- MECHANICAL PERMiTAPP.UCATION FORM Information Worksheet -t REQ' ADDRESS: { 4717 N. Lillian JOBSP, Spokane Wa 99216 PARCELNUMBER' CITYISTAT .. OWNER' Zimke Walter PHONE -NUMBER: 4509) 924-2675 MAILING ADDRESS: 4717 N- Id 11 J an ' Spokane Wa 99216 (Street) (CitylState) (zip) CONTRACTOR: 'Sturm Heating, Inc. LICENSENUMBER: STURMI* 210 OF PHONE NUMBER: 325-4505 DRESS' E. 204 Indiana Spokane WA. 99207 MAILING AO .. • - (Street)• (CitylState) (zap) MECHANICAL WORKSHEETIFEE SCHEDULE DESCRIP11ON ELECTRtC/5UCTW0F1K (SEPARATE SYSTEMS) �$ :bV Sl: GAS WATER HEATER GAS EQUIPMENT+100.000 BTU DUCTWO.RKI GA P h1G'��T.I� w� . SOILER1REFRIG 1-1 OOM BTU ©Ili1Ri:..a BOILER/REFRIG 501-1.000M BTU . • .; ;: .. •- • - 80 LEf21.Fi�At�7�00 ��-���,1�SOtyI�B,,,�;,,' "`�'�.�f:�.-��:• `� C301LEPJREFRIG +1.750 -M --BTU FAT P : MP HEAT PUMP &AIR CONDIT(ONER 3-15 TONS .�M M '&�A°1RO1`lD1TlO EF31I5.:;30T0 EATPIJ HEAT PUMP & AIR CONS Oil(ONER 30-50 TONS' EAX UMQ .CONO.I:T1.©NER?:+50 T ".1-; VENTILATING FANS _ TYPE I HOOD (PER 12 OR 12 PTN. OF HOOD) :p��1° Y ������a���`a.bgv'.`.'.�.c.r2L�2i'c�u rt�� '�it� • Y�°'� �f: I IIOb© CLOTHES DRYER. ;<jM••:..�o,>.;)^`>y'�y',�'.•,`.v^'�Y � Y 3 ac,'b:�ti. �17��'1c�,-•„`t �s�i . =�i.' A'��,A,«:'t:;;,°..:::s'S�,:<M,:cacY�.2'0•;,,,M�.f .C�c�....f:..LZai;.°5.�..,.,.uu GAS LOG • C . :tis oTov>Eo�a-s.E-W UNtLtST13D G+AS APPLIANCE <400,000 BTU 1 S X31: ' a : _....s `Amp-�U'�N. }4.x.00;004 Ta '4' �•� ...... : USED APPLIANCE <400,000 BTU .�G4/ tt�f' tilAlu;tC���`!�vi�lvV C�.7:tJ ^' ^a�..'�fii.W.tV'��` v:C�:Y<:><3:nJ ::..^' �•;. A1RHAN0t-ERC10,000 CFM ' �.-a-. O tf' M+i:tV�<�y �:::�G/Ri`R s:Y \2":�''i<.0\'.y"'�=<•<iy>, NOTL-: Mlt4(M0M PERMIT FEE IS S35.00 NUMBER OF UNITS X EACH UNIT x 10.00 = x 25.00 = x 10.00 = x1p-00 = x 15.00 x 1.00 = x 12.00 = . x 20.00 = x 25.00 •= i ' x 35.00 = x 60.00 = ' x 12.00 = x 20.00 = x 25.06 = 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 50.60 = X100.00 = x 50.00 = . X100.00 = . X1200 = x 15.00= -AMOUNT 10-00-- • ' SUBTOTAL PLUS: PROCESSING FEE • S +S 25.00: EQUALS: TOTAL PERMIT FEE DUE = S 35.00