1991, 10-14 Permit App: 91006832 Furnace, PipingJOB STREET ADDRESS:
MECHANICAL PERMITAPP.LICATION FORM
Information Worksheet
1315 S. McDonald Road
CITY/STATE/ZIP: Spokane, WA 99216
OWNER: Don Huenfeld
MAILING ADDRESS: 1315 S. McDonald Road
PARCEL NUMBER: J -St,
PHONE NUMBER: 928-7568
Spokane, WA 99216
(Street)
CONTRACTOR: Sturm Heating, Inc.
MAILING ADDRESS: E.
204 Indiana
(City/State) (Zip)
LICENSE NUMBER: STURMI* 210 QF
PHONE NUMBER: 325-4505
Spokane WA.
99207
(Street)
(City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
GAS WATER HEATER .
GAS:::EQUlPtiEhT <?a00'OOOB3 U_(INCLUDES
GAS EQUIPMENT+100,000 BTU DUCTWORK)
GAS,PIPIt1G EAOUTLE.•,- 1;':_
BOILER/REFRIG 1-100M BTU
0I E REF:R(G'701-500t(SBTU::.
BOILER/REFRIG 501-1,000M BTU
BO(LER/REF..RIG, -1;;0003: 1;750).4'B7C3'.: :::
BOILER/REFRIG +1,750M BTU
f E T eUI4P &AIR:CON,DLTIQNER
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT, P U L1 P...; &:A:I R `..CO N D I TI O N ER15'-36T0 (>' S
HEAT PUMP &AIR CONDITIONER 30-50/TONS
HEAT; PU,t�F"���A1R CONQITIONERt+50TONS�i':
VENTILATING FANS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
...:..... .
CLOTHES DRYER.
GAS LOG
(SCEL ANEQUS;NO.TCOVERE0'sEt_SEl HERE;'." :."
UNLISTED GAS APPLIANCE <400,000 BTU
:UL(NSTED GAS>K I ANCE>400 000 BTU, `.;;:'
USED APPUANCE <400,000 BTU
t9S,EPY13.e,.L'Ifg‘gg,7SP;OQO 8'
•
AIR HANDLER <10,000 CFM
AIR=H.ANOLER>19-;000 GFM:::„;._..°i
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
.
x 25.00 =
x 10.00 =
1
x 12.00 =
12.0 0
x 15.00 =
1
x1.00 =
1.00
x 12.00 =
x20.00 =
x25.00 =
x35.00 =
x 60.00 ='
x 12.00 =
x 20.00 =
x25.00 =
x 35.00 =
x 60.00 =
x 10.00 =
x10.00 =
x 50.00 =
x10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =.'
x 50.00 =
x100.00 =
•- .
X 50.00 =
x100.00 =
x12.00 =
x 15.00 =
SUBTOTAL
$ 13.00
PLUS: PROCESSING FEE
4 $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
=5 38.00
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