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1995, 05-18 Permit App: 95003360 AC• 1= Go 96) MECHANICAL PERMIT APPLICATION 3S0 9 1Z 5 1 I9R()11:t.r ADDRESS: -75t --- a1 ---- O W N Eit: hlnit iNG ADDRESS: `7 Lc, -- ------ — (street) STURM HEATING, INC CONTRACTOR: , MAILING ADDRESS: 209 E Indiana Ave I. • 11.1105/1i: (c. y -Talc) ILICENSIt: STIJRMI*210QF GrnoNE: (509)325-4505 Spokane WA 992-07 (city/state) (zip) (strcct) S .,.,t„- OF UNIT'S/UNSj' MI'S1 _anVMA_ AMOUNT �ON OF WOy�R DES_ R. = or <100,000 seem <4P00 .<« w >� .001 < <4009001 1-t00M an, 101-S00M 6111 • $12 $15 S50 S100 $50 5100 S12 $20 _ - 1 - 1 - 1 _ , - - B02 FUEL BURNING APPLIANCE 803. FUEL BURNING APPLIANCE OS: 1304: UNLISTED FUEL BURNING APPLIANCE Li05 UNIISIED FUEL BURNING APPLIANCE $06 USED APPLIANCE (Must meet WSECs min. AFUE rating)« 6}i7_ ng) USED APPLIANCE (Must meet WSECs min. AFUE rating)• gQB BOILER/REFRIGERATION $09 IIi/REE'7tIGERATION $25 - ..BOILER/REFRIGERATION sot-I.00nM Eau Biot BOILER/REFRIGERATION . S35 - c - B}1> BOILER/REFRIGERATION• 1.00t-i.7saM an) +1,750M BTU - - - -• - - - -or<10000C M >1OD®OEM • • . . • $60 $10 $10 S10 S10 S10 S1 SSI10 S10 $10 $15 S10 - - - - - - - - - - -7.13b.:!: - 1 . - - , . 1 Si:2s BOIIFR/RFJ;RIGERATION iI)3; GAS LOG, GAS INSFRT.AND/OR GAS FIREPLACE 131 $4 RANGE DRYER �#G�FUEL BURNING WATIILHEATER } MISCELLANEOUS_ FUEL BURNING APPLIANCE t 1? GAS PIPING (ea. outlet) BADUCI'SYSTEMS E20: VENTILATING ATINGFANS AIR HANDIER (DOES NOT indudeduet systems) - - n.•..rY '$�:AIItHANDIFIt(DOESNOTindadeduUsyAemsY COOLERS EVAPORATIVE TYPE HOOD - 0 -STOIC( 6-ISTOnS 16-30TOtd 31-soTotu +SOTOOta - •- • • • $50 $50 S10 S20 $25 S35 $60 S10 S20 - - - - - - - 1, . -EYPE II HOOD WO, HEAT PUMP/AIR CONDITIONER .Cin — 1 AMCONDIIIONER ?>•--. 4 B28 ALR CONDIITONER B29! AIRCONDrONER $3Q'AIIiCONDLTIONER :I1' LPG STORAGE TANK 832 WOOD OR PELLET' SLOVE/INSFItT Subtotal I ,- NOTE MINIMUM PERWFFEE ISS35.W PLUS: PROCESSING FEE $25.0( TOTAL PERMIT FEE DUE S 2 7' SIGNATURE: m..unm.apc..+...,e SPOICANE COUNTY DIVISION OF BUILDINGS WEST 1026 BROADWAY AVENUE • SPOKANE, WA 99260 • (509) 456-3675 11 JUN -16-1995 10:41 r. 509 325 2615 P.02 SPOKANE COUNTY DEPARTMENT OF BUILDINGS WEST 1026. BROADWAY • SPOKANE, WA 99260-0050 (509) 456-3675 SITE INFORMATION PROJECT INFORMATION SITE ADDRESS: 7816 E MAXWELL AVE SPOKANE WA 99212 PARCEL NUMBER: 45182.0314 SUBDIVISION: WEST VALLEY ADD LOT: 1 BLOCK: 2 ZONE: AGSUB INSPECTOR: DAVE SILVA WATER DIST: OWNER: FUNSETH PHONE: 509 928 9519 ADDRESS: 7816 E MAXWELL AVE SPOKANE WA 99212 PROJECT NUMBER: 95003360 ISSUE DATE: D5/18/95 PERMIT USE: AIR CONDITIONER APPLICANT: STURM HEATING INC PHONE: 509 325 4505 ADDRESS: 204E INDIANA AVE SPOKANE WA 99207 CONTACT: STURM HEATING INC PHONE: 509 325 4505 SETBACKS -> FRONT: N/A LEFT: N/A RIGHT: N/A REAR: N/A LENDER NAME: PHONE: ADDRESS: CONTRACTOR STORM HEATING LICENSE S: STURMI*2100F HEAT PUMP OR A/C 0-5 TO 1 PROCESSING FEE 25.00 TOTAL PERMIT FEE $37.00 PAYMENT SUMMARY NOTES PAYMENT DATE RECEIPTS 05/18/95 00004178 TOTAL FEES AMOUNT PAID $37.00 $37.00 PAYMENT AMOUNT $37.00 AMOUNT OWING ISSUED PERMIT BY: BURRIS, ROBIN 5.00 TOTRL P.02 JUN -16-1995 10:41 509 325 2615 P.01 V TO: TRANS STURM Heating, Inc. PHONE (5091 3254605 FAX (5091 325-2615 EAST 204 INDIANA SPOKANE, WA 99207 Carrier. LEAD SHEET COMPANY NAME: pu�c�/ 1 £t2o/C-e/LA, ( 1 /c2 • A-L/N.C7 aline ATTENTION: DEPARTMENT: SUBJECT: L O ,S14-/ 9SDd33s FROM: COMPANY NAME: STURM HEATING, INC. INDIVIDUAL: c /�Q,ttiJ NUMBER OF PAGES (INCLUDING LEAD SHEET): DATE l /6/mors'_ Pv# Dept 030 — CCD€ ENFORCE ,tERUND _.630010 VENDOR •`t.; HEATING INC 204 E INDIANA AVENUE SPi(g,"jE VeDdor CoMactTel WA 991;Y' SHIP TO: EPS PAYMENT DOCUMENT SPOKANE COUNTY AUDITOR Confirming Order BILL TO: FOB: ACCTG. PERIOD: COMMENTS. 06/95 PO DATE: BLDG; ROOM: DELIVERY DATE: WAREHOUSE: ENTERED BY BUYER Cttat,w Order # Bid ED Blanket# RC# VI# PURCHASING DIRECTOR COMM LN # DESCRIPTION COMMODITY NO REF ACCT LINE QUANTITY UNIT UNIT PRICE TOTAL PRICE 95003360 _,;. $37.00 X 80% ?ROJECT CANCELED -80% REFUND $29.60 PAGE TOTAL: DISCOUNT TOTAL: FREIGHT TOTAL: SALES TAX TOTAL: PURCHASE ORDER VALUE: USE TAX TOTAL: -?'s:D TOTAL: 29.60 C.Oc% 0.0.. 0.00 29.60 0.00 LINE NO. FUND I AGCY ORG SB ORG I ACT OBI SB OBI REV SRC SB REV RPT CAT I BS ACCT I lOB NO. PAY THIS AMOUNT P/F TOTAL TO VENDOR: RECEIVING CERTIFICATION Materials noted in quantity . have been received in good condition or contracted for. SIGNED 1» c4' TITLIACCT TECH 3 DATE 6/19/95 PAYMENT CERTIFICATION I, the undersigned do hereby certify under penalty of perjury that sufficient funds have been budgeted for this daim, the matenals have been furnished, services rendered or labor performed as described herein or contracted for, that the daim is a just_ due and unpaid obliption against Spokane County or fund agency indicated above, that I am authorized to authenticate and certify to said daim. slcx6f i//ll,✓.eidli'LtTrfF DIRECTOR DAT 6/19/95 DEPARTMENT 2 TRAVEL CERTIFICATION I hereby certify under penalty of perjury that this is a true and correct daim for necessary expenses incurred by me and that no payment has becn received by me on account thereof SIGNED TITLE DATE PAGE