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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