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1992, 09-25 Permit App: 92008022 Mechanical Fixtures�t `�`�> D b G c `��t- OC)( --- Li - MECHANICAL PERMIT APPUCATION FORM Information Worksheet • - : - JOB STREET ADDRESS: *- • 1702 N. Raymond = <:_: _:=.:: _ ;.._:; P' S_ kane WA • 99206 • - PARCEL NUMBER:•:-•'' CIT1(ISTATEiLI OWNER' Glenn Sch ikert PHONE -NI MBER: 924-1973 #6390 9-17-92 MAILING ADDRESS: 707 N_ Ra (Street) CONTRACTOR' -Sturm Heating, Inc-. MAILING ADDRESS' E. 204 Indiana ' (Street) (City/State) Spokane WA 99206 (City/State) LICENSE NUMBER: (ZiP) STURMI* 210 QF PHONE NUMBER: 325-4505 - Spokane WA. 99207 CSP) • MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION • ELECTRIC1DUCTWOFtf< (SEPARATE SYSTEMS) MS5 n GAS WATER HEATER S Rr ,�In,,+:isscx�xixYx GAS EQUIPMENT+100.000 BTU DUCTWORK) •GAS, ,,Ps�P,...g ••, aIJT, A&wet::;r,o, BOILER/REFRIG 1-100M BTU t, R� M1lt',�YN�i✓ :01l1F-. 70 BOILERIREFRIG 501-1.000M 8Th - ..: TG7A0olt�7<SDM >3T M>'<�'. �< . 801E BOILER/REFRIG +1.750M BTU ' vN p :MP IR 00 .D(TIb..ER 0 . (M. y.,41t HEAT PUMP &AIR CONDITIONER 3-15 TONS EFIEAT ITA B R C ' N Y 1-;1.0 -rit er3W5 +. S.r �3' HEAT PUMP & AIR CONDITIONER 30-50 TONS' �� r •���tP • CONDIT4- NE• - VENTILATING FANS •laPL3Rf .E7 00:603144,WAi F tr TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) •o F'y 'NQS c pet( fl@O9 CLOTHES DRYER. KGE A GAS LOG • CNC OV eji.GL'l. i9WOW. UNLISTED GAS .APPLIANCE <400,000y,00BTU j{ .0_00e1,7104..1`r1+AC-ty�. !,rL.a`'i,L; �:-S tl ,V W111.3 W w .'+ aa`j t <. USEDAP,��]PyLA.I(AKNICE <400.000 BTU \'iC'�✓•.MVOVAM�.<..'.�'�%..>�t11.d'�t;�:Yr'�•9xer A t� AIR HAN0LER<t0.000 CFM ' 1R1iiAN(�L1=R > .. •;z„......„4,,,zatza.segotifkam NOTE MINIMUM PERMIT FEE IS S35.00 SIGNATURE_, "__..__ _ NUMBER OF UNITS . X EACH UNIT = AMOUN't x 10.00 = x25.00= x10.00 = x12.00 = x15.00 = x 1.00 = x12.00 =. x20.00 =•• x 25.00 •_ ;- - x 35.00 = • x 60.00 = '• x 12.00 = x 20.00 = x 25.00 = x35.00 = x 60.00 = x 10.00 = x 10.00 = x50.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 t x 50.00 = x100.00 = x 50.00 = . x100.00 e•.• x12.00 = x15.00 = . • '. 1 $L0.00 -.- 1 $12.00 2 $2.00 ....• . . - • •.:..-- - • . - •- - ' • - ' - • • • • - - • ' ' . - • . • - SUBTOTAL 5 24.00 . PLUS: PROCESSING FEE" ' + S 25.00: EQUALS: TOTAL PERMIT FEE DUE = S 49.00