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1992, 09-01 Permit App: 92007474 Mechanical Fixtures
3.62 Baa MECHANICAL PERMtTAPP.LICAT1ON FORM Information Worksheet 1103 S. Mariann' - • JOB STREET ADORES-Si. CI Y/STATE/ZIPSpokane : _ -John Foss OWNER:_ MAILING ADDRESS: #6340 9-1-92 Wa 99206 . . PARCEL NUMBER: ` ::: • -: u. PHONE -NUMBER:'" 928-4773 S•bkane WA 99206 (Street) CONTRACTOR: -Stumm Heating, Inc-. MAILING ADDRESS E DESCRIPTION ECTRIGIDUCTWORK (SEPARATE SYSTEMS) ospod v.10S •t irAelt sr a,ta' is'' xx 4 GAS WATER HEATER vl_M ' GAS t=aUIPMEt�T f� 00.000 BTU DUCTWORK) -GAS I ap.. Q tJT, ?9 BOILERIREFRIG 1-100M BTU ©St? R :. 10 BOtLERIREFRIG 501-1.000M BTU : • .: El 01 llEktREFRIGIISONIMPIALIF4 gjw-A BOILER/REFRtG+1,750M BTU pill' : fv1P. R GO PIT -40 Efi b= •.:0... ' � a se HEAT PUMP &AIRCONDITIONER3-ISTONS HEAT PUMP &AIR CONDITIONER 30-50 TOMS; 204 'Indiana • • (Street) (City/State) LICENSE NUMBER: PHONE NUMBER: 325-4505 Spokane (City/State) (gyp) STURMI* 210 QF WA. MECHANICAL WORKSHEET/FEE SCHEDULE XEACH UNIT 1'rcO Sa pL -.0 NUMBER OF UNITS 99207 (Tp) • = AMOUNT 1 EAT - VENTILATING FANS TYPE t HOOD (PER 12' OR 12' PTN. OF HOOD) NE 5o CLOTHES DRYER. • GAS LOG - D�t� y°1:a!3 :na• UNLISTED GAS APPUANCE <400,000 BTU i;t soVaASAIP fiN -4141}0; 40 �t3 ' = `t a . USED APPLIANCE <400,000 BTU i.�i•�'Ei i`-Li'N't`� "G.Yk>aw�i+"+" .9. f, S�aQ� ,yam.. t=t?rAPP1�A'N��.�..."`��4t>-��•�.w��. AIR HANDIER <10,000 CFM • 1R�tiA�1 •J«:,..::t�N....N �w:.`1-i.~•vWa�.C:w•i.•. ti x10.00 = x25.00 = x 10.40 = x 12.00 = x 15.00 x 1.00 = x12.00 =- x20.00=• x25.00= x35.00 =• x 60.00 x12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 10.00 = x-10.00 = x 50.00 = x10.00 = x10.00 = x 10.00 = x 10.00 = X10.00 =:• x 50.00 = x100.00 = x 50.00 = . x100.00 e.. - x.12.00 x 15.06. $1Q.00 $12:00 . $2.00 NOTE MINIMUM PERMIT FEE IS S35.00 SIGNATURE__ SUBTOTAL PLUS: PROCESSING FEE • EQUALS: TOTAL PERMIT FEE OUE S 49.00