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1992, 07-14 Permit App: 92005262 Mechanical Fixtures
MECHANICAL PERMIT APPLICATION FORM information Worksheet JOB STREET ADDRESS; • -! S. McDonald CITY/STATEr P' Spokane, Wa 99216 OWNER: Spills, _Robert MAILING ADDRESS: -1•117) S_ Mc-flnnal d Spokane Wa '99216 (City/State) LICENSE NUMBER: STURMI* 210 QF PHONE NUMBER: 325-4505 Spokane (City/State) ,„a 3QQC\8 PARCEL NUMBER: ` PHONE NUMBER: (Street) -Sturm Heating, Inc. CONTACTOR' MAILING ADDRESS' E. 204 Indiana (Street) • MECHANICAL WORKSHEET/I- L SCHEDULE DESCRIPTIONS • ELECTRIC/DUCTWORK { TW�iORK (SEPARATE SYSTEMS) expoS,�•`.vY T'�IS:.+11T ,f y ..y GAS WATER HEATER Eel:ApM GAS_ EQUIPMENT . _UIPMENT+100,000 BTU DUCTWORK) •GAS 1 G MR 3.7. BOILER/REFRIG 1-1OOM BTU 1.1ar-rehM. cast .0iw •Q. BOILER/REFRIG 501-1,000M BTU . ...: .„, • .. . _ " . O jL,40. 1x i;7501vi i=A.,,tgu �Z RI.FiEFA HT;Osie< 3 . BOILERIREFRIG+1,750M BTU ' rHz v .MP R GO . ' HEAT PUMP &AIR CONDITIONER 3-15 TONS �.��TPI��AiE��coNo oar ��47Ys4�o�i�aq s.,a'' HEAT PUMP &AIR CONDITIONER 30-50 TONS - OND 0-WER7-1-70"Thl.Narf FEAT VENTILATING FANS i4Qfl R f':1 i✓R S.'. ;i,s>j;�>i'.: sr fss'fiy ��6vy�s _..::.,:a::✓;.`:::°ur:�w:;:.;c).•..,. �'i cw$:aa::CJtoi>:c:.5: TYPE I H000 (PER 12' OR 12' PTN. OF HOOD) c f S3 a :•a.,.. •i. Elly F C.V:$:J � e iAd �s Pelt H Y CLOTHES DRYER. GAS LOG - ISGEht N .CUS. OZ" OVE EDt.EtSEW UNLISTED GAS APPLIANCE <400,000 BTU " grs 3 ASAP. UANCI AL- 000 USED APPLIANCE•<E 0000 BTU SEDtAPPI At1G }4 1.000 "8 ' ,:c;reqr<w>., AIR HANDLER<10,000 CFM • NOTE: MINIMUM PERMIT FEE IS S35.00 SIGNATURE___ WA. • 99207 CSP) NUMBER OF UNITS . X EACH UNIT = AMOUNT x10.00 = x25.00= x 10.00 = x 12.00 = x 15.00 = x 1.00 = x12.00 = . x20.00 =•- x25.00 =k. - x 35.00 = • x 60.00 ='x 12.00 = x20.00 = x25.00 = x 35.00• x60.00 = x10.00 = x10.00 = x 50.00 = x 10.00 = X 10.00 = x 10.00 = x 10.00 = x 10.00 =•:'• x 50.00 = x100.00 =• x50.00=. x100.00 = .• x,12.00= x15.00 = • "• - - ' • . . • • 1 • ' 2 20.00 . SUBTOTAL S 20.00 PLUS: PROCESSING FEE' ' + S 25.00' EQUALS: TOTAL PERMIT FEE DUE = S 45.00 SpoKane County Division of Buildinos