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1992, 09-14 Permit App: 92007804 Mechanical Fixtures#6378 9-10-92 , MECHANICAL PERM iTAPPi-IGATION FORM _ information Worksheet J08STREETAODRE;SS' l :6103 E. Moreland cffwSTATEMP• ' 99212 PARCEL NUMBER:-`•'_: •--� - - .WA ---- Kamitomo OWNER: _ PHONE*NUMBER:---- 536 -7975 -- - . MAILING ADDRESS: 6103 E Moreland pokane WA 89212 (Street) * (CiVState) (zip)CONTRACTOR- • -Sturm eating - 4. Inc LICENSE NUMBER:. STURMI* 210 QF PHONE NUMBER 325-4505 . 1,AAIUNG ADDRESS' 1E. 204 Indiana Spokane WA. 99207 (Street) (City/State) (zip) MECHANICAL WORKSHEEvFEESCHEDULE NUMBER X EACH OESCRIPTION OF UNITS UNIT =AMOUNT EE TR_ic DUCTWORK (SEPARATE S'fSTEMS) p + l.Sd . �►�SF3Tiv i x 10.00 = x 25.00 = GASWA TER HEATER x 10.00 = 10.00,' 111Pt '. O< pL .Q 1 x1200 = 0 GAS EQUIPMENT +100-000 BTU DUCTWORK) .._ . _ ._ x 15.00 x 1.00 = - 2.00 130SLERIREFRIG 1-100M BTU ©IIIEiFi x12.00 =• x 20.00 = -- - - BOILEPJREFRIG 501-1,000M BTU . . • ; ::. R. " - ... BOILRIRFRf�Z 1x00• _$ ���7.ri eTr; - x25.00 = X. SOILERIREFRIG f1,750M 8TU " X 35.00 = E�15P:('. .'- iRCO.;.T(TO..ER x 60.00 = = x 12.00 HEAT PUMP &AIR CONDITIONER 3-15 TONS - ••, &V exp -t f�p{AiRt0_-,7 QIT_lQ E(3 x 20.00 = HEAT PUMP & AIR CONOITiONEA 30-50 TOfIS' x 25.00 = FJaX IMP .. GOi�QI (bNE ?+SOc... x:35.00 = - VENTILATING FANS x 60.00 = _ +4PflRliT� EOO *EL RSfrz��� ,��„.fir-�,-r w,, x 10.00 = TYPE (HOOD (PER 12' OR 12' PTN- OF HOOD) X'10.00 = ggg'�- WI vEll x 50.00 = CLOTHES DRYER. x 10.00 = �"G���1c :i !� `.co-4�f°.��..ehf. fxE:�Y-:�aSPI$�&Y��� idoKi aC" 10.00 - . _M"S2t-`•'j GAS LOG X 10.00 - - IS11N x 10.00 = ' UNLISTED GAS APPLIANCE <400,000 BTU x 10.00 ST.FCAS�RI'.iN. ECS 4I30 E - -- • t3.., x 50.00 = USED APPLIANCE<400,000 BTU x100.00 = (���'�(�����:{•gy�pp{{,,��A'}� �.�tyf•�y/-�, rte;--• g SCl!l11f'.�C'u-ANG- +� ' .•'-"",vr�.7 V�� �.+`..Ni`� �:1<:! ' • -'%3!ti r. AIR HANDLER <t0,000 CFM x 50.00 _ • . x100.00 _ .. - iR1tiAN©1iR�?Ta�400tCF w x 12_00 = a x 15.06";; _ -SUBTOTAL S BUILDING & SAFETY PLUS: PROCESSING FEE 2 NOTE MINIMUM PERMIT FEE IS S35.00 EQUALS: TOTAL PERMIT +:s 25.00: _ FEE DUE = S 49.00 SIGNATURC__ _ _ _ _ �_ /