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1992, 10-15 Permit App: 92008918 Mechanical Fixtures - ()Os .� l,� #6463 10-8-92 • MECHANICAL PERMIT AP- P_LUCATION- FORM '' ;= - . - . _ : • Information Worksheet: - - �'l - l__ j-1713 S. Keller . - _ : : I q---7- '• '. STREET ADORFSS ::.y=%_ :;>= ;.:. JOB CtTY1STATFLP: Sn_akane WA 99216 PARCE .NUBER; '- - :'i: .` _ . OYJHER; Davi ROSS_ - PHONE-NUMBER:"e WA 925-786999216 1713 S. Keller .Spokan MAILING ADDRESS: (Street) - - (City/State) (ZIP) CONTRACTOR: 'Sturm Heating, Inc. . - LICENSE NUMBER: STURMI* 210 OF - - - PHONE NUMBER: 325-4505 - E. 204 Indiana Spokane WA. 99207 - MAILING ADDRESS:, -. - •(Street) (City/State) - PP) ' MECHANICAL WORKSHEETIFEESCHEDULE • . • NUMBER X EACH DESCRIPTION •= OF UNITS . UNIT =AMOUNT - _ �mIC/DUCTWORK(SEPARATE SYSTEMS) X 10.00 = - . c o os 43, vloSvF3 irgir -e ;aX25.00 = _ cAsWAT HATER . - x10.00 $1Q.00 6 t IP-M - C s. E E E t - 01.,-0•5.+`-*ZRMMI,`:< x12.00 = 511.UU M '['(100.000 8TU OUCTWORK7 GA_SEQUIPM ,_ ,_ . - x15.00 _ -GAS 1PIt3G.. •QUT,i... ?A 4;3=1,51.4.4 , _ v>.z :•a l., 3A;:2; x 1.00 = $2.00 BOIL.ER/REFRIG 1-100M BTU ' x 1200 =. -- - - - - 1e©II R 101:-ee o. . 4 . ='4.: e � ,t x20.00 = BOILER/REFRIG 501-1.000M BTU - - -.: - .... x 25.00 = - - SDI tleRD (G 7�fl9 - I.:04 = G x 35.00 = • BOILER/REFRIG+I,750M BTU - ' x 60.00 == , EATe:MP •. . .R SU ..1:010 ER-0 '::oNS•' ,.A-0..+s`a- X 12.00 = HEAT PUMP&AIR CONDMONER 3-15 TONS x 20.00 = - - EAXP MPGA ROON151xOt1E(31'S:o TO`.S.rnaA x25.00 = - HEAT PUMP&AIR CONDITIONER 30-50 TONS- x 35.00 = - ` EAT,•UMP :.• ',c0190MONE•.+50, o ,.S -:�t. i,, 4 - x69.00 = - - VENTILATING FANS .x 10.00 = - . -+gQLt ag-11 2:',CC�1L`�£,,„.. . < ''_fies x-10.00 = TYPE I HOOD(PER 12'OR 12' PTN.OF- H000) x 50.00 = Pira i3©bQM.,,0, Vga's.' x 10.00 = ' CLOTHES DRYER. z 10.00 = ayMEM ?�7"^ . ::�4--., r ? r x 10.00 = GAS LOG - - - x10.00 = (tea^� c ,tSOa `'0�7EF�EitSrVE:a .` y -- x10.00 .;-_--- . - UNLISTED GAS APPLIANCE<400,000 BTU ' - x 50.00 = 1.I Ste' . • I'.•ANClrt 130;000 8 t ,: x-t00.00= USED APPLIANCE<400.000 BTU 111111 x 50.00 = n Sl ?TA13t C 09000.31 w t %.Fu`s,' t7,,1 ,,`,• X100.00 ' - AIR HANDLER<t0.000 CFM ' .....x 1200 __ 1 ....-•- _.. • . :SFV?w %�r�Lf.1i- v''iN 1R 00_ O2-._C_FM-- :��...�-�^.;r'.-.�;_: .tt- _. : � 4 x 15.00 - _ SUBTOTAL 5 24.00 - • PLUS: PROCESSING FEE' +S 25.00: •' NOTE: MINIMUM PERMIT FEE IS S35.00 EQUALS:TOTAL PERMIT - FEE DUE _S 49.00 SIGNATURE _ - /