1992, 08-25 Permit App: 92006836 AC6294
8-21-92
MECHANICAL WORKSHEETIFEESCHEDULE
DESCRIP1I0t1
ELEC•iC/DUCiWOFtK (SEPARATE SYSTEMS)
p +O.S e,0
GAS WATER HEATER
GAS EQUIPMENT+' 00.000 STU DUCTWORK)
•GAS PI . G- - ... (JaT b -.
BOILERIREFRIG 1-100M BTU
1.000M BTU -
60It.ER1REFRiG 501- • -: _::: - .. -_ . _
a�XtiR1RTCzy6'o--aMT
t30iLER/REFRt + 750M BTU
yP :.MP R C®' DIS&INER b -.
HEAT PUMP&AIRS ONERS-ittOITI
3-
EAT RtROND10 Ef3 S:s 0 TO Sv a
HEAT PUMP & AIR CONDITIONER 30-50 TOMS•
EAX 1�MP .-. - GO�IDIiI�.NE .,-•30 . • .S-;:' a`��
VENTILNG FANS
ATI
H +. 9.
TYPE I HOOD (PER 12' OR 12' PTN..OF HOOD)
CLOTHES DRYER_
GAS LOG
Ut1USTED GAS APPLIANCE <400.000 M
0Z ST '; f
USED APPLIANCE <400,000 BTU
rIRH�AiANiZ
A.R <C�• AO0O01ni..�.0O. CC: �FF11JMMLG
NOTEMINIMUM PERMiT FEE (S:S35-00
SIGNATURE_
NUMBER
OF UNas
MECHANICAL PERMfr APPLICATION FORM
_ -
Information Worksheet
-
J 08 STREET'ADDRESS -4 Al n� F MnrPl ari
STATE(LIP T S?Qkane
Wa
PARCEL NUMBER:. -
CITY!
OWNER: and MRs. Mark Kamitorno
. - -: -
PHONE -NUMBER: "�9) 536-7975
ADDRESS:
6103 E Moreland
SPokane Wa
MAILING
(Street)
(CitylState)
(Tp)
CONTRACTOR'S urm
Heating. Inc: -
UCENSENUMSF�: STURMI*
210 QF
PHONE NUMBER: 325-4505
DRESS- E. _
MAILING ADDRESS-
204 -Indiana
Spokane WA.
99207
(Street)-
(CitylState)
(Tp) -
MECHANICAL WORKSHEETIFEESCHEDULE
DESCRIP1I0t1
ELEC•iC/DUCiWOFtK (SEPARATE SYSTEMS)
p +O.S e,0
GAS WATER HEATER
GAS EQUIPMENT+' 00.000 STU DUCTWORK)
•GAS PI . G- - ... (JaT b -.
BOILERIREFRIG 1-100M BTU
1.000M BTU -
60It.ER1REFRiG 501- • -: _::: - .. -_ . _
a�XtiR1RTCzy6'o--aMT
t30iLER/REFRt + 750M BTU
yP :.MP R C®' DIS&INER b -.
HEAT PUMP&AIRS ONERS-ittOITI
3-
EAT RtROND10 Ef3 S:s 0 TO Sv a
HEAT PUMP & AIR CONDITIONER 30-50 TOMS•
EAX 1�MP .-. - GO�IDIiI�.NE .,-•30 . • .S-;:' a`��
VENTILNG FANS
ATI
H +. 9.
TYPE I HOOD (PER 12' OR 12' PTN..OF HOOD)
CLOTHES DRYER_
GAS LOG
Ut1USTED GAS APPLIANCE <400.000 M
0Z ST '; f
USED APPLIANCE <400,000 BTU
rIRH�AiANiZ
A.R <C�• AO0O01ni..�.0O. CC: �FF11JMMLG
NOTEMINIMUM PERMiT FEE (S:S35-00
SIGNATURE_
NUMBER
OF UNas
X EACH
UNIT
- AMOUNi
x 10.00 -
x 25.00 =
X10.00 =
x 1200 =
x15.00
x 1.00 =
x 1200 =
x 20.00 = -
X25-00 = a
x 35.00 =
x 60.00 = =
x 12.00 =12-00
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
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 = .
X100.00 =•.
_x12_00
x 15.00 _
•
-•
-
'
"
SUBTOTAL
S
PLUS: PROCESSING FEE*
+5 25.00'
EQUALS: TOTAL PERMIT
FEE DUE
=:s