1991, 07-12 Permit App: 91004187 Heat PumpMECHANicf.L PiTAMIT APPLICATION FORM •
Information Worksheet
JOB STREET ADDRESS: East 11917 Lenora Dr.
CITY/STATE/ZIP: Spokane Wa 99206 PARCEL NUMBER:
OWNER: Joe Frankovich
MAILING ADDRESS: Same
PHONE NUMBER: 926-2204
(Street)
CONTRACTOR: Sturm Heating, Inc.
MAILING ADDRESS:
DESCRIPTION
E. 204 Indiana
(Street)
(City/State)
LICENSE NUMBER:
PHONE NUMBER:
(Zip)
STURMI* 210 QF
Spokane WA. 992'07
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER
OF UNITS
X EACH
UNIT
=AMOUNT
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
.WOODSTOVIINSERT r`_
GAS WATER HEATER
'3AS',EQUIP IET;<i00;000 BTU:(1tSCLUDES:.':':,'':.;
GAS EQUIPMENT+100,000 BTU DUCTWORK)
GAS._PIPING;(E11;OU.TLET).
BOILER/REFRIG 1-100M BTU
................. 107:50OM`8TU -
BOILER/ EFRIG 501-1,000M BTU
BOJGER/R FRIG 7;0001.1;750M ETU
BOILER/REFRIG +1,750M BTU
EAT `'UMP.'&'AIR _CONDITIONER 0-1-7-v
HEAT PUMP & AIR CONDITIONER 3-15 TO:.S
HEAT &'AIR CONDiTIONLR 15-30 TON'S, • •
HEAT PUMP & AIR CONDITIONER 30-50 TONS
FIEAT P.,UMP..(&AIR;CONDITIONER50 TOi' 5
VENTILATING FANS
EVAP.ORATIVEsCOOLERS :-_
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
T1'PEI0H6OD...'. ,.i.
CLOTHES DRYER.
GAS LOG
1ISCEI•giNEQUS:{NOTGOVERED'ELS EWIi[1 E
UNLISTED GAS APPLIANCE <400,000 ETU
ULILASTED:GAS.'.APPLIANCE>:400,000:BTU .
USED APPLIANCE <400,000 BTU
iUSED'At?PLI4N2P5S,400;0O0 BT__O%
AIR HANDLER <10,000 CFM
AIR HANDLER;?10,000 CFM .. .
x 10.00
x 25.00
x 10.00
x 12.00
x 15.00
x 1.00
x 12.00
x 20.00
x 25.00
x 35.00
, x 60.00
1 x12.00 =
20.00 =
x 25.00 =
x 35.00 =
x 69.00 =
x 10.00 =
x 10.00 =
x 50.00
x 10.00 =
x 10.00 =
x 10.00 =
X 10.00 =
X 10.00 =
>; 50.00 =
x100.00 =
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
12.00
NOTE: MINIMUM PERMIT FEE IS 535.00
SIGNAL URL
SUBTOTAL
PLUS: PROCESSING FEE
12.00
S 25.00
EQUALS: TOTAL_ PERMIT
FEE DUE
31701cule County Division of L'uildinn
=S 37.00