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1991, 10-16 Permit App: 91006835 Furnace, Piping q ) -1;T- � . . . MECHANICAL PERMIT'APPLICATION FO 7:" ' "•`"`" • FORM...--* " [reformation Worksheet • • •4. • a a• JOBSTREETADDRESS: N. 1503 Lewis Road . • // r • CITY/STATE/ZIP: Spokane,_ WA 99 212 PARCEL NUMBER: (/ ?s`� (:)-- O ( I• OWNER: Holly ("'andi 1 1 PHONE NUMBER: 928-6952 MAILING ADDRESS: N. 1503 Lewis. Road Spokane, WA 99212 (Street) (City/State) (Zip) CONTRACTOR: Sturm Heating, Inc. LICENSE NUMBER: STURMI* 210 QF PHONE NUMBER: 325-4505 MAILING ADDRESS: E. 204 Indiana Spokane WA. 99207 (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS . UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = • Mvuy'•^" ^,:,".M'^N!N•�wwww�yM•hY�?j.�Y,,�q�jQY}'UlI�(•M:y+!}ryy}Y'<Y:Y}::X?Q(:'.C•W Y.j??.4Yjya a• O^•Qy , ?t 1.•'n i^2+• 'y,`6`f('.{aY'.2�? .,, z,:".. } Y.:::Y:::2n;'v QDS; O,U 1.1NaSE . , `", �, ;ry:Y <<#}i,}k a . x 25.00 = .. • GAS WATER.HEATER • ' . • x 10.00 = • - '' �S? P.'.*�r .� 4 �O :` - PoEs Aar � 1 x 12.00 12.0 0 GAS EQUIPMENT+10°,999 BTU DUCTWORK) x 15.00 - • .GAPIIs JTE : r.,.a, n ;.;:< o,:,:Y;;..,,,•...:.,. ,,...t• 11 .00 ....,........6.1.......„... . .l.... . .1.4,0=ww . BOILER/REFRIG 1-100M BTU x 12• .00 = . • • p ' 'RE1jR G at`D1, t?.{it l' f;.>;-A ;•} f} ai,:::,::< :>>>'z<-�f�N2 07o1�'{�.� aa::.��W:a\,.#.a,.,:w.,wa:,a.,w: .,.}..a:6j;>:SM ii:J:.;...,. . :;<r:. ;;'} %` r x 60.00 = • '• •' -. �.a=.,:.. `may'::<�:..,, ,.;:a:..:.i:wi •.• '•:'r..,..• BOILER/REFRIG 501-1,000M BTU . . . . x_25.00 = . _r,. '; :::•:x; ' ,.vMf+^pv^'S"r.!^v:!i.•:.�.1x1:$`.4, .avie.vmi%::j}ynYi?:.�nv.!.y#?..yinwr.}.?!.`jro:??j..�.vv..i}fH.f. � .. . i$OILSIT/F RFAiG�:I•,0001 .7:50M�BTU x 35.00 = } anaa,:a•.:~...;�v.-:S>na>.vvav:nv.o,.N.a..fi;$:io}::iva.o.}..,..,.,.�, ;,,,-..x,..c.< .,.:....r.; ...x.,,.,..c.: - BOILER/REFRIG+1,750M BTU •. E0w x 60.00 = "IT:R.WarrIP&A KIOD:TONFT '3YT.O1S r> M." f x 12.00 - HEAT PUMP&AIR CONDITIONER 3-15 TONS 1 I x 20.00 = • ;., • .P'U I Q B: ..a .:&,4 :;:.,:.\,:}�>,:»w „,,;2:30 TQ1�S.:'»ai K'' = • x 25.00 HEAT PUMP&AIR CONDITIONER 30-50 TONS x 35.00 = • !\J,�,S^'v.}Nwt.p'kH.!!•.SyltWw dv.^`r`?M..y.V?•K4:'y'!dY li•p:irx,4G, :W.y.�ry:ymrynY.+?Jryfi:!?{!-':F.t??H??t! 'HEA7<RUfi�P c;i.1R C01.*iQITI.Ot�Efl+50.TO11S ,;•,;;: ;. -:,:i•-• x 60.00 - ,ti �aw:Yciwracaarwwam.Sa.xwlwv £,>a,r.roxax.•i;.c„ ,ar.:o}.:;:o:'S n•:��a #ai:w' - VENTILATING FANS »� s : M ; x 10.00 = •EPr3RwA�TV. GOO"LERSwMwwA:;•; y: • ; - o x•10.00 = TYPE I HOOD(PER 12'OR 12' PTN. OF HOOD) x 50.00 11 rnY.,Y}•`p'^"C�����!m��>a••x;[ ,rvp7Nas,...fy,ri;.°rrm,, `.%c-} r•.•.:£;::}``.::i:>i . nc...;;y:} = .}}}tiiry \.; J.-:•`r iii ':.'::.. :.SK :F•N:t;'w„ Y.uvjy 4''• 2:1>., ..':;:a•:a,.::-.,::.w::'c`is;...wr,......-..;M,. .....•:xcx:;l#:2##;`':#o:;' 2�.`;;.}:;:}:» _ .Zi,a¢..�!\v:, W:.,,-:?iLi�Y n�:::�:-:<Si\ititi<:}`ri:� x 10.00 CLOTHES DRYER. i„vx ya,•:May,.`.M^•.:C:?::k:}. `•4'C;".`.sst iWYc>rx:�%ts;a'a:::` #:'r is ?,.;:..?:.„......}:.._... x 10.00 RANGE;};,> , « >?r,. :>:}; °:: _>> <:`>:<:: � ;�.a.;�:.:.,;,,,:;.;:.�,::�,,�,:. . .::;{w::::�:<>:>ii,Ni;ij.,:.>:a:„ ;;.:}ice::.......:>:; x 10.00 = GAS LOG - x 10.00 = ' fSCEtikl US OT .OV RE0.1k S :': " <: . . HEREx 10.00 • .,a\a.,a,.oe,.,w.:, 4.:,,,,.•.,;u�:a:,•.,.a,.,.s:;•}.a.}..:�:;:::•:,j:.,::;:•a;.::t _ UNLISTED GAS APPLIANCE<400,000 BTU • x 50.00 = TU • .LtNSfe0GAS�APATIXI .CI=:>>4004.4R<BTU: > <>>>> «<: .,,, ,,...,�.:.-,... s�,. .�., k,":,z...:.,:.:.,.: •:...,:,u.:;;:: }}:>:«;::;::«:>:;.:<:ij>>viii x 100.00= • USED APPLIANCE<400,000 BTU x 50.00 - 1.�(.��,�t,;�.v...,.,.•Mk��{..�,;..,.r.,,,(.,.�..,/,,�/-�.M�••<•!,�:.r;:�cnr/..�?�..,,,,,•?,y..:'.{.y:yl,;.:�}>':.:�-#:- ::;��yl.,.w,?,;�v:z.;.z:,�•f,: - . ...,..... v:..:.n.....,nw..•...,...:i, x100.00 = AIR HANDLER<10,000 CFM • x 12.00 . ARH.. . .:.. ....:....n. x 15.60 = SUBTOTAL S 13. 00 . PLUS: PROCESSING FEE • + 5 25.00 NOTE: MINIMUM PERMIT FEE IS 535.00 EQUALS: TOTAL PERMIT FEE DUE _ $ 38 . 00 SIGNATURE rnnlinnn ('c.,trifv 11%,".....:- ,.t n..:r.a:---