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1992, 10-14 Permit App: 92008847 Mechanical FixturesES MECHANICAL PERMLTAPP_LICATION FORM Information Worksheet - JOB STREET ADDRESS'•- 14 N . Park PARCELNUMBER: JLJb-B�l''t'f-:' :- PHONENUMBER:928-7808 ' #6468 10:12-92 CITYISTATEIZ_P: Spokane WA 992.12 •. OWNER. Gary Bothe MAILING ADDRESS' - "1514 N. Park) (Street CONTRACTOR: 'Sturm Heating, Inc. MAILING ADDRESS' E. 204 Indiana • ' (Street) ' Spokane (City/State) LICENSE NUMBER: WA 99212 (ziP) STURMI* 210 QF PHONE NUMBER: 325-4505 - Spokane WA. (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SM i LMS) .STOV GAS WATER HEATER GAS EQUIPMENTf100,000 BTU DUCIWQRK) BOILER/REFRIG 1-100M BTU - BOILER/REFRIG 501-I,000M 8TU . - ;-: - BOILER/REFRIG +1,750M 8Th otkzroPIviFiO 121g. 111. b--(S;<t HEAT PUMP &AIR CONDITIONER 3-15 TONS ` x p. MPAWI li .C~.',O- N D IO E13054 3 T S Yst HEAT PUMP & AIR CONDmONER 30-50 TONS' SI • VENTILATING FAOS TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) 7YPEiI1 t3©O©; ? t k::;-$:�_ 3;�,;,-? :-' ` s' CLOTHES DRYER. GAS LOG - w oir o EREDim UNLISTED GAS APPLIANCE <400,000 BTU • LI 5TOCIAS`RRP. flNCE;?4;00871Rw- - USED APPLIANCE <400,000 BTU SF'D7Af3P11AN05P.':.-v0PO Ma,i-ds%�,AL;?f s .,. AIR HANDLER <10.Q00 CFM • , . -•-'• . - NOTE MINIMUM PERMIT FEE IS S35.00 SIGNATURE_ 99207 PP) • NUMBER OF UNITS . X EACH UNIT x10.00 = x 25.00 = x10.00= x1200 = x 15.00 x1.00 = x12.00=. - x 20.00 = -• x 25.00 -_- - x 35.00 = ' x 60.00 = -- x 1200 = x x 20.00 = x25.00 = x35.00 = x60.00 = x 10.00 = x-10.00 = x50.00 --- x x 10.00 = x 10.00 = x 10.00 = x10.00 = X1o.00 - x50.00 = x100.00 = x50.00=_ x100.00=•.• x 12_00 = x 15.00 = = AMOUNT . - -. 1 $10.0-0 1 $12.00. 2 $2.00 - • .. . - . - ' • ' . . -' - ' -' SUBTOTAL s 24.00. PLUS: PROCESSING FEE" + S 25.00 : EQUALS: TOTAL PERMIT FEE DUE _S 49.00_