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1992, 12-09 Permit App: 92010893 Mechanical Fixtures
145c)cca- °\- --A(-- 69' (0(5B s /st .D(� _31 co-- (_Zgg2_e, p CC r MEC1-iANCAL PERMIT-APPUCATION FORM -` Information Worksheet - - JpB STREET ADDRESS;: B31a E Ti.iV wc - -_:__.- >:. 3 k e. t� • C(TYISTATEIZIP:_T -r - PARCiZ NUMIIER. - OWNER: ()'* AA % 4� Al . . ..' i_ . - PHONE-NUMBER: MAILING ADDRESS: C � _cam �ZI� L► (Street) (City/State) (Zip) CONTRACTOR. -Sturm Heating, Inc_ - LICENSE NUMBER: STURMI* 210 QF PHONE NUMBER: 325-4505 - G ADDRESS:_ E. 204 Indiana Spokane WA_ 99207 MAiUt1 -(Street) -- - (City/State) (ZIP) MECHANICAL WORKSHI---t(FEESCHEDULE - NUMBER X EACH DESCRIPTION : OF UNI IS . UNIT =AMOUNT _ Ei..ECTRtGIDUCTWORK(SEPARATE SYS1 EMS) x 10.00 = - ®o 0 S 9c1 .itASERI,., % t; .°.;.,V'= ' - ; _ x25.00 = - GAS WATER HEATER . x 10.00 = - ' b bf i1 )wip-? T" f . - 0.„ . -war �, \ x 12.00 = 12 .(:)(m - GAS EQUIPMENT•{-100.000 910 DUCTWORK) x 15.00 = - -G Pt�yN 5.�s- e,,x 0 Z x 1.00 = 2,C : . 801LERIREFRIG 1-100M BTU • x 12-00 =_ - - . - •e©IL IRET t G f .;o.e bMtOU,- -'7.-%!--4.-qw .: x 20.00 = - - . BOILERIREFRIG 501-1,000M BTU - -_ --- _;:_----_ . . . - x 2100 _ - 8©IgE 441.4 FRf 1 000 Y ;7SOM,,8TrAft-;q***;-. A x 35.00 = - . BOILERIREFRIG 4-1,750M 8TU - - x 60.00 = -- ; q ovral :MP.:'1R1C0.:.D(T-0ER-0,7-f3',..CNS; &K`< 5 i x 12.00 = - (2 .00 EAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 = --,� r`.'''..'`. ter!- ---,--<�,�--,." ,� Amt - 0 k L t=ATPD.. P,8 -:. RSC N O I-: Et3'T'S 3O.TQ Sr:r t-mss X 25.00 = HEAT PUMP&AIR COQ N ONER 30-50 TONS- - x 35.00 = - - , EAT,•tfMR', COND1®NE•.+80,,D s -4,,;0-,..,4 x 6000 = -- - VENTILATING FANS _ _ • x 10.00 = . c �,.-- rte,-_ � ,: .Lti S..C-. ls'ct;.�_Sn..:;-'�9fl:,:rF`<,��t'<`�_ �� :�iPDR111. ;)=� � =,-,.:_..: :_,-,..,�...;_. ..:t� x-10.00 = TYPE I HOOD(PER 12 OR 12`PTN_OF H000) x 50.00 = ��>''�,`;, ,,, - _ r+#i� X10.00 7YPEs�(.13�O;�a• .- u?=r�;�iyp;ri9s.,_ ,�- = , : J CLOTHES DRYER. !1°-°° • • S `:`�`.w :S Yw^..:Jf:'YF:."`.--fx-N�_KYt ::tti4.3t_:;'toc;n. �-: :� - •�[i .. `�. -Y- =�xa< -.. :.,.::_.;,;�_-.:.-r.�MS;s�s'�E��-�ft-.. 10.00 GAS LOG -- - _ . - X 10.00 = ; ±L1* cU: ,OTOtllt 0%i LSEWH F''' 1 _ - - - 4=�=` x 0.00 - UNLISTE GAS APPLIANCE<400,000 8TU - - 1 x 50.00 - t ASc RP1` NCI✓,--_, 0; OO,, - ic'<'- <{r';�-�- 3 = - �31 S f f �1 x100.00= - . USED APPLIANCE<400,000 81U x 50.00 - . 18010 L.. t. _ fL� j;.,, .. . 1 _ SEI?iAf'P AN 8111; > ��. .�r_,. X100.00 - - . AIR HANDLER<10.0'30 CFI,', - x 1200 = -- - - '1RtLTA,N01ERt?f0,4fJ0)CFt,,_ r r.`� �:,� } ' - _ - - -.. 11U BTOTAL S Z(o coo 'PLUS: PROCESSING FEE :1 +5 25.00- NO Iii MINIMUM PE-R `IT FEE IS 535.00 !EQUALS: TOTAL PERMIT FEE QUO j = S 5-i • (-- :-K;I•ILi URI__ - --