1991, 10-31 Permit App: 91007432 Mechanical Fixturesto a l Gf MECHANICAL PERMIT APP.LICAT(ON FORM
Information Worksheet •
JOB STREET ADDRESS: 8417 East Mission
CITY/STATE/ZIP'Spokane, WA 99212
OWNER: Mr and Mrs Eric Rieckers
PARCEL NUMBER: G2.2.5 -n/- 906'a
PHONE NUMBER: 922-0532
MAILING ADDRESS' 8417 East Mission Spokane, WA 99212
(Street)
CONTRACTOR' Sturm Heating,
Inc.
MAILING ADDRESS' E. 204 Indiana
(City/State)
LICENSE NUMBER:
PHONE NUMBER:
Spokane
(Zip)
STURMI* 210 QF
325-4505
WA. 99207
DESCRIPTION
(Street) (City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
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GAS WATER. HEATER
ASrEQUIPKENT V 01;t0 13TV= tt1CLUDES ;
GAS EQUIPMENT+100,000 BTU DUCTWORK
GAS•EIPING (E O 100..00 S
BOILER/REFRIG 1-100M BTU
FOIL R1RE1 R1GASOb1J`$T<
BOILER/RREFRIG 501-1,000M BTU
gaL gra RIG 1009;-a sOr
BOILER/REFRIG +1,750MBTU
;HEH7>PUIAWfatON,DI:TION ER{ifl%T;QrS.
HEAT PUMP & AIR CONDITIONER 3-15 TONS
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HEAT PUMP & AIR CONDITIONER 30 -SO TONS
{ aTiflUMPT8tf�7RsGONOI;T10t5ER i50T6'.
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VENTILATING FANS
APORfAT,V <.,CO.OLERS:
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE+1f 'COD>"a; r:
CLOTHES DRYER.
GAS LOG
{(SCTSIISOUS`{N T:COVgfigELSEY.MERE_
UNLISTED GAS APPLIANCE <400,000 BTU
UNSTED>GAS AP..,PL1gNC 00'OQ7618T T
USED APPUANCE <400,000 BTU
AIR HANDLER <10,000 CFM
'A IR:HAN DLERs>j2.Q00 °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 =
x 12.00 =
x 15.00 =
.
• -
1
12.00
1
x 1.00 =
x 12.00 =
x 20.00 = .
x 25.00 = .:
x35.00 =
x60.00 ='
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
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 =
1.00
.....• ._ . ... .
.
_
. .
x100.00 =
x1200 =
x 15.00 =
SUBTOTAL
$ 13.00
PLUS: PROCESSING FEE
+,r> 25.00'
EQUALS: TOTAL PERMIT
FEE DUE
= 5 38:00
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