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1993, 01-14 Permit App: 93000214 Mechanical Fixtures
L-3 6- 2- 330-3 a3O-3 5� (U�g' Mc_CHANICAI_ PERMITAPPLiCATION FORM Information Worksheet : -• •. JOB STREET' AODRES-S a lol�l hna�P e -_.= - CITYISTATEIZIP' Scx2 x)' q PARCEL NUMBER_ -- - PHONE -NUMBER: -CI 2.4--1(..0 1 to hCo l - I 3-q� OWNER: MAILING ADDRESS: (Street) CONTRACTOR: 'Sturm Heating, Inc'_ . MAILING ADDRESS - E_ DESCRIPTION - ELECTRIC/DUCTWORK (SEPARATE SM 1 EMS) 204 -Indiana - ' (Street) City/State) LICENSE NUMBER: STURMI* 210 QF PHONE NUMBER: 325-4505 - Spokane WA.. 99207 (City/State) MECHANICAL WORKSHI-r i (FEE SCHEDULE GAS EQUIPMENT +100,000 BTU DUCTWORK) [.Paas • LJA .ggt.t ie BOILED REFRIG 1--100M BTU ' ©(IFRJR t Ya 80(LERIREFRIG 501-1,000M BTU . soli-000---3,-7s13M a-16:Wg� 80(LERIREFR(G +1,750M BTU' p: MP.�.A.RICO:..'(:.I ER1013 T-fJ:'.ss :f t.::' HEAT PUMP &AIR CONDONER 3-15 TONS plyM • A.R CON.DIT ER;1-S TQ Srt t »s HEAT PUMP & AIR CONDmONER 30-50 TONS' • WgOITZITE' f:T8 ,( s( Wir,k; EAT_ 1IMP 8. VENTILATING FANS � i ,Q,� L'-�..� S':%?`._ ?fly_%<; :li> ` ssy<'ir� ; •l-�F': J�,'' - _,�r"� TYPE ( HOOD (PER 12 OR 12' PTN. OF HOOD) CLOTHES DRYER . • � �ci..� .it r ...:lflfc... =-�:Yil"=��t�i3 ^''S:z GAS LOG UNLISTED GAS APPLIANCE <400,000 BTU - H,UtNS'AS;RRPLAN.CR4UC1;00jQRCI:v�:={_<<: - USED APPIIAIICE<400,000 8TU • AIR HANDLER <10,000 CFM _ •lR1tiFaT 101ERi}j0<4003C" r-`; } `• �t�r NOTE: f 111,II .{U' M PERMIT FEE IS 535-00 NUMBER OF UNI t b - X EACH UNIT = AMOUNT x 10.00 = x25.00 x10.00 = x12.00 = x 15.00 = x 1.00 = x 1200 = . x20.00 =-- x 25.O0 = ,-' 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 = x50.00 = x 10.00 X 10.00 = x 10.00 = x 10.00 = :- X10:00 =--"*. x SO.00 = x x100.00 = x 50.0.0 = - X100.(Y=-.• x.12_00 = x 15.00 = _ i(),( 112. 0-Q . 2' 06 - -• - ' - - - • - ' - - -- - - - . SUBTOTAL S 24.00 PLUS: PROCESSING FEE ' + S 25-00 ' EQUALS: TOTAL PERMIT FEEOUE =Skl`1n •03