1993, 05-17 Permit App: 93003642 ACb- \ MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
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#7128
A36 jz. 5-13-93
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JOB STREET ADDRESS: -gyp 7927 Nnra
CITY/STATE/ZIP. Spokane Wa 99212 PARCEL NUMBER:
OWNER:_ Eyla Trudell PHONE NUMBER: 926-9036
MAILING ADDRESS: same
CONTRACTOR:
(Street)
Sturm Heating
MAILING ADDRESS: E 204 Indiana
(City/State)
LICENSE NUMBER:
PHONE NUMBER:
Spokane Wa
STURMI*210QF
325-4505
(Zip)
99207
(Street)
MECHANICAL WORK
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODBTOVE1:(NSE ii
GAS WATER HEATER
>AS gQUIpMi.OQ;O k:PrO
ENT �NC14kpgSAS EQUIPMENT+100,000 BTU DUCTWORK)?M „
G
BOILER/REFRIG 1-100M BTU
901LER/REPRIG 1,O1 -5001,4;t3
BOILER/REFRIG 501-1,000M BTU
gpl l EVFI F.09;;1�it3001 ;i� oM TO
BOILER/REFRIG +1,750M BTU
H EAT<PUMP:& AIIR;GQNpnONER10.L3:>7ONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
'Ii Ai Rl1Mp&At1 < pNp lUN i ga.P.g
HEAT PUMP & AIR CONDITIONER 30-50 TONS
„HAAT ?UMP. 8 »R CONA1 40081 ;t50;T9NS � s
VENTILATING FANS
APO AT`1kO ONA
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
CLOTHES DRYER
GAS LOG
A1SQ L fiN ,911§ .9: GC3VgR P ELS Wt1ER
UNLISTED GAS APPLIANCE <400,000 BTU
Ui INS7'El7 GAS..APR IAtiPE i00;0U0.13..
USED APPLIANCE <400,000 BTU
USSprf PP.0 N9E 4QO& 0<I
AIR HANDLER <10,000 CFM
"AIR.IMAN[ gFC*10.i90;0 CFM;
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
(City/State)
(aP)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x 1.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
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 =
x100.00 =
x 12.00 =
x 15.00 =
1
12.00
SUBTOTAL
$ 12,00
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
_ $ 37.00
Spokane County Division of Buildings