1992, 06-09 Permit App: 92004141 Heat PumpEapagostga
HEAT PUMP & AIR CONDITIONER 3-15 TONS
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HEAT PUMP & AIR CONDITIONER 30-50 TONS'
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MECHANICAL PEIt"NSfTAPP.UCAT1ON FORM •
Information Worksheet • ' •
JOB STREET ADDRESS= 1 E. 8223 Nora _ G�:ri.:._:::: •..: • . _ •.
CITY/STATE/ZIP• 'SrnkanR. WA 99212 PARCEL NUMBER:
OWNER- - Mr. Bud Miller PHONE 'NUMBER: ' 922-4635
MAILING ADDRESS: E. 8223 Nora Spokane, WA 99212
(Street)
Sturm Heating, Inc.
CONTRACTOR:
MAIUNG ADDRESS* E
204 Indiana
(City!State) (Zip)
UCENSENUMBER: STURMI* 210 QF
PHONE NUMBER: 325-4505
Spokane WA. 99207
(Street) (City/State)
MECHANICAL WORKSHEETIFEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
GAS WATER HEATER
ECQUIP..ME,
,o0
I DI..
GAS EQUIPMENT+100,000 BTU DUCTWORK)
AGq,s IP NG
BOILERIREFRIG 1-100M BTU
IlikeratarairA2
r .a
®ILER/R '.'I'
BOILER/REFRIG 501-1,000M BTU ..:
:O LERIRkPR(G�7"2,04.0 `i 750M B7{i'.IL
BOILER/REFRIG+1,750M BTU '
c®NolaIG
VENTILATING FANS
Af',ORSI ERS `aa.1
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
CLOTHES DRYER.
'•ftANG>w ° 0NP-1 „Y'
GAS LOG
l fitJE pt ;t' OTCOV•ERED.'EiSEW
UNUSTED GAS APPLIANCE <400,000 BTU
OS e GF1S + I AN:: ';'00,)000 8 al
USED APPLIANCE <400,000 BTU
SEDIAPPL:100ir>?40Q:OQ0 8;
AIR HANDLER <10,000 CFM
WRIHANDl $>iAi000 GFM ,,,
E' Et;.
NOTE MINIMUM MIT FEE IS S35.00
SIGNATURE
Cap)
NUMBER
OF UNITS .
X EACH
UNfT
=AMOUNT
-
x 10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x 1.00 =
x12.00 =.
x20.00 =•
.
--
x 25.00 =..; :
x35.00 =
x 60.00 = •
x12.00 =
x 20.00 =
x25.00 =
x35.00 =
x 60.00 =
x 10.00 =
x'10.00 =
x 50.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x10.00 =`'
x 50.00 =
x100.00 =•
x50.00=.
3C100.00 =..-
X 12.00 =
x 15.00 =
1
12.00
.
SUBTOTAL
$ 12.00
PLUS: PROCESSING FEE '
+ $ 25.00'
EQUALS: TOTAL PERMIT
FEE DUE
= S 37.00
Spo(sa'ne County Division of Buildings