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1992, 12-11 Permit App: 92010863 Water Heater, PipingX--1(.3 3-1 6- MI`CI-IAN(CAL PERMIT APPL CATION FORM _ - traonnaiion Worksheet JOB STREET ADD RE;SS.- 1hiq S. CY1ar►(�m= CITYISTATEIZ-IP: -.-- U30CP tOLD '. OWNER: •�.(r -SO MAILING ADDRESS: iP ` mCi (Street) Sturm Heating, Inc-. CONTRACTOR: 11/..1101 MAILING ADDRESS: DESCRIPTIO11 • ELECTRIC/DUCTWORK (SEPARATE SYS I IMS) DS :dd E. 204 Indiana - "(Street) DEXULLL, - PARCEL NUMBER: PHONE -NUMBER: • s� (City/State) (ZA) LICENSE NUMBER: STURMI* 210 QF PHONE NUMBER: 325-4505 Spokane WA. (City/State) MECHANICAL WORKSHH- -i /FEE SCHEDULE - S-.. 1G G 1IfNKJ KLn-.v1 w. GAS EQUIPMENT+100.000 BTU DUCTWORK) BOILERIREFRIG 1-100M BTU - BOILERIREFRIG 501-1,000M BTU . . 80111eRIF3 BOILERIREFRIG 4-1,750M 8TU - - ER,O,-;`3,,..p S f- `n ` HEAT PUMP &AIR CONDmONER 3-15 TONS 17A7PI MP & Ri.0.0N DETTO- Et3;T5t.`-30 7-+ 5/ '»s HEAT PUMP & AIR CONDITIONER 30-50 TONS' GOND I ©NE - VENTILATING FANS APOR�iY1.E� O;O.L'1E9S. 7i.Vg t i:V -OA TYPE ( HOOD (PER 12' OR 12' PTH_ OF HOOD) 130400 CLOTHES DRYER GAS LOG - ;SCaU N_ UNLISTED GAS APPLIANCE <400,000 SIJ - 1LIi�Sf3`A'S;R1iP. At1C(;?Qi3000:873�r.: Z USED APPUANCE<400,000 BTU AIR HANDLER 010,000 CFM I l�lRr?10<400?C.hS R 1 .. , NOIU MINIMUM PERMIT FEE IS s35.00 SIGNATURL_, 99207 PP) NUMBER OF UNI [S X EACH UNIT =AMOUNT x10.00 = . x 25.00 = -- x 10.00 = ta.Ot x12.00 = x15.00 x 1.00 = 2.•)e) x12.00 =_ x 20.00 = -- - x25.00 = ii x 35.00 = - -- - x 60.00 = -- x 1200 = X x20.00 = • x 25.00 = x 35.00 = x60.00 = x 10.00 = x-10.00 = - x 50.00 = X10.00 = x10.00 =- x10.00 = x 10.00 • x 10.00 = -; -• x10.00 =::- x 50.00 = x100.00 = x 50.00 _ x100.00 = - .- - X.12_00 = x 15.00 = SUBTOTAL S 120a-. PLUS: PROCESSING FEE - + S 25.00 ' EQUALS: TOTAL PERMIT EEE OUE Z = S 0.00