1991, 07-25 Permit App: 91004484 Water HeaterMECHANICAL PERMITA.PPLICATtON
FORM
Information worksheet
JOB STREET ADDRESS: East 8610 Mission Src?-
CITY/STATE/ZIP: Spokane, Wa.. 99212
OWNER:OWNER:Kieth Hollenback
MAILING ADDRESS: Same
PARCEL NI IMBER: / �.� ( - d Si •
PHONE NUMBER: 924-5484
(Street)
CONTRACTOR: Sturm Heating, Inc.
MAILING ADDRESS: E. 204 Indiana
(City/State) (Zip)
LICENSE NUMBER: STURMI* 210 QF
PHONE NUMBER:
r Spokane WA. 99207
DESCRIPTION
(Street) ,` (City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER
OF UNITS
(Zip)
X EACH
UN(T
=AMOUNT
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
sVJOODSTOVELINSERT;
GAS WATER HEATER
6AS'EQ01P(t1EWRIe 00,007 BTU {iISCLUDES__`_
GAS EQUIPMENT+100,000 BTU DUCTWORK)
GAS PIPING,(EA.GUILET) .
BOILER/REFRIG 1-100M BTU
BOIL R/.REFRIG.`i0.1:-500M BTU .
BOILERIREFRIG 501-1,000M BTU
^_;-:.._a...,..... .. . { ETU
�TU
BOILER/REFRIG +1,750M BTU
HEAT PUMP &'AIR'.CONDITIONER 3TONS
BEAT PUMP & AIR CONDITION _F 2-15 TG'\S
.HEAT,P.UMP'S AIRCONDITIONER 15-30 TONS
HEAT PUMP &AIR CONDITIONER 30-50 TONS
11EAT P;UN,P_ &�� I,R:CONOITION ER +SO TONS
VENTILATING FANS
EW FORATiV.EiCOOLERS; . .. - -
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
CLOTHES DRYER.
--.
--
GAS LOG
?f ISCELtANEOUS.'(NOT`COVERED ELSEWHERE
UNLISTED GAS APPLIANCE <400,000 STU
;ULINSTED GAS APPLIANCE>400,000 BTU
USED APPLIANCE <400,000 BTU
t)SED ,kF't'l 11 INCE X100,000 13TU
AIR HANDLER <10,000 CFM
'htf1111ANDLER >10;000 CP,{ ;
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNA.I UI;I_
1
x 10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x 1.00 =
x 12.00 =
x20.00 =
I x 25.00 =
x 35.00
x 60.00
x 12 00
20.00
x 25.00 =
x 35.00 =
1 x 60.00 =
x 10.00 =
x'10.00 =
x 50.00 .-
x
x 10.00 =
x10.00 =
x 10.00 =
x 10.00 =
x. 10.00 =
x 50.00 =
x100.00 =
x 50.00 =
x100.00 =
x. 12.00 =
x 15.00 =
SUBTOTAL
PLUS: PROCESSING FEE
10
DUALS: TOTAL PERMIT
FEE DUE
Spokane County I)ivi';inn n( (iuilrlinrn-
35.0