1991, 05-01 Permit App: 91002228 FurnaceMECHANICAL PERMIT APPLICATION FORM
C /\� 74-
Information Worksheet
JOB STREET ADDRESS: 7910 E. Marietta / /C�
CITY/STATE/ZIP: Spokane, Wa 99212 PARCEL NUMBER: 0`� t J
OWNER: Mrs. Glady Taylor
MAILING ADDRESS:
CONTRACTOR:
Same
PHONE NUMBER:
924-4746
(Street)
Sturm Heating, Inc.
MAILING ADDRESS: E. 204 Indiana
DESCRIPTION
(Street)
(City/State) (Zip)
LICENSE NUMBER: STURMI*210 QF
PHONE NUMBER: ( 509) 325-4505
Spokane, Wa. 99207
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
GAS WATER HEATER ::::::::..................................................
AS>EQ IPMEN' ' ,000: B (INCL 1 ES
GAS EQUIPMENT +,000 BTU DUCTWORK)
GAS�plNG'"SOU 100
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG 501-1,000M BTU
.. ......................
BOILER/REFRIG 1,0001 1,750M
BOILER/REFRIG +1,750M BTU
HEAT>PUMP• .AIR CONDITIONER 0 3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
- E ` `PUMP. . A,I O D TIONER:'15-:_ TONS..
i:.vwmv.Ax:4vw:....x::.v.J.4.:.:.v..................:..:::.:.:..:n.....:..:.:..............:.....:: n.. n.....
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEATPUMPr A3R:; ONt ITIONER +fit) TONS
VENTILATING FANS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
CLOTHES DRYER
GAS LOG
OISPELLMEOUSii T COVERED ELSEWHEI
UNLISTED GAS APPLIANCE <400,000 BTU
, LII ISTED �..AS ►PP.LIANCE>400,000 BTU........:
USED APPLIANCE <400,000 BTU
AIR HANDLER <10,000 CFM
•
AIR HANflI_ER .1O 00O CFM <__
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
X 10.00 =
X 25.00 =
x 10.00 =
x12.00 =
x 15.00 =
x 1.00 =
X 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
X 12.00 =
x20.00 =
x 25.00 =
x35.00 =
x60.00 =
x 10.00 =
X 10.00 =
x 50.00 =
X 10.00 =
x 10.00 =
x 10.00 =
X 10.00 =
X 10.00 =
x 50.00 =
x100.00 =
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
12.00
-
SUBTOTAL
$
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
_$ 37.00
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675