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1992, 09-25 Permit App: 92008027 Mechanical Fixturesz --] C- #6398 S t�, - l�� .9-17-92 ... MECHANICAL PERMIT AP- PLICATLON FORM Information Worksheet :- '. 17814 R Sitr, ' =<{ JOB STREET ADDRESS:: --t- � ::• _ -, ..._ - .. -..: 0ny1STATE/ZLP:_SIDok e WA • 99216 • PARCEL NUMBER........ ' •-':- PHONE•NUMBER: 92h-7798 OWNER: Rand E. 12814 Sinto MAILING AODEtESS'- (Street) CONTRACTOR: 'Sturm Heating, Inc-. Spokane WA • 99216 E 204 Indiana E. MAILING ADDRESS:_ (Street) (City/State) UCENSE NUMBER: STURMI* 210 QF PHONE NUMBER: 325-4505 Spokane WA. 99207 (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION • EIECTRIClDUCTWORK (SEPARATE SYSTEMS) o D.S,od GAS WATER HEATER 'G14IIPM t: bEE ara AS UIPMENT 4--100,000 BTU DUCTWORK) -GASEPli . • ..-M-14 , -M� BOEFRIG 1-�IOOM BTU BOILER/REFR(G 501-1 ,000M BTU B4Ot 1LERZREFRfm7a00 1=,�1,,7<5, �, M,L BOILERIREFRIG 4-1,750M BTU • INI' :MP. �.'-'1R 00 : .0010 ER b= p..,� .5.; r� HEAT PUMP &AIRCONDITIONER 3-15 TONS �� z F i7.arti5 44iRI ONDja'�O Et37775r3•rOkt' O .5.-'8' HEAT PUMP & AIR CONDITIONER 30-50 TONS' . K�a` EA7 1 MP •' . , a 4 - VENTILATING FANS --e�-�""'pt..w'.+e�' o.t•'.a.,rf�r,:7.`.�,ry ^1i'9" � �?%"�'„„�.y.'..•.. � . •Apflgfi7l �;COO.L�£�5�;,;.;,M;_�,..�."��s�`:ssX:-.��;��,�,'•: • TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)�C CLOTHES DRYER. pem WOO 4* • N"GE GAS LOG - OT".y Ov:EF3,CC� : t UNLISTED GAS APPLIANCE <400,000 BTU ' L t S f tGA`S;R p. AN 4b0 00t8T-1- .: . USED APPLIANCES<40O0y,0�0�0� mi.!.! t S�.•.G�/.iV%RN 11 j ,5 M1,•w.i=y-'-S'b-i'.KA. .PI.QFF•. {�. AIR HA 101 -d0 0 CFM . _.__. ' ��{{�/� y{sXyh v%i�i`.'�L:YuKia;�w ,!-��ovxa.;�. N1: . W03.V-Ma,....ay ,--,-, cj--y •-`• ez--•4<SRy`� eir .:..0..{.,..:11-52_,..A. QL1=F.�.011. r «-,Si -Y.,:.,-:r, <.;:�-:.,,'• t.... NOTE MINIMUM PERMIT FEE IS S35.00 SIGNATURE_-_ NUMBER OF UNITS . Ff X EACH UNIT = AMOUNT 1 . x 10.00 = . x25.00= - • • x 10.00 = - . --• • 1 x 12.00 = $12.00 . x 15.00 = x 1.00 = 51.00 x12.00 =. i. x 20.00 = •- • - •.:..-. - - x 25.00 = ~-' x 35.00 = ' x60.00 ='- x12.00= x20.00 = x 25.00 = x 35.00 = x 60.00 = x 10.00 = x-10.00 = x 50.00 = x10.00 = x 10.00 = x 10.00 = x 10.00 = • i- - - . ' • ' - • • , ' t 1,1 • ' -- x 10.00 = x 50.00 = ' zi x100.00 = - x50.00 = . - .•x100.00 II = • . ' ' • X12.00 = - x 15.00 = SUBTOTAL S 13.00 . PLUS: PROCESSING FEE' ' + S 25.00' EQUALS: TOTAL PERMIT FEE DUE = S 38.00 •