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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 Spokane Cot my f hA&nn .,f n.i;rrunnc