1991, 11-25 Permit App: 91008159 Mechanical FixturesMECHANICAL PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS: East. 7623 South River Way.
CITY/STATE/ZIP: Spokane. WA 99212
OWNER: Mrs Theo Egan
PARCEL NUMBER:
PHONE NUMBER:
926-7235
MAILING ADDRESS: East 7623 South River Way Spokane, WA 99212
CONTRACTOR:
(Street)
Sturm Heating, Inc.
MAILING ADDRESS: E•
DESCRIPTION
204 Indiana
(Street)
(City/State) (Zip)
LICENSE NUMBER: STURMI* 210 QF
PHONE NUMBER:
Spokane WA. 99207
(City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVEI'II01E.:::::..
GAS WATER HEATER .
GAS EQUIPMENT+100,000 BTU DUCTWORK)
GAS PIPING {EA OUTLET)
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG 501-1,000M BTU
ilfOraWfakpmmazgogig
BOILER/REFRIG +1,750M BTU
HEAT PUMP & AIR CONDITIONER 0 3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
NEAT PUMP <A!R CONDDITIONER T5 30 TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
>HEAT PUMP &AIR CONDITIONER +50 TUNS
VENTILATING FANS
TYPE I HOOD(PER 12' OR 12' PTN. OF HOOD)
CLOTHES DRYER.
GAS LOG
UNLISTED GAS APPLIANCE <400,000 BTU
xrcx:.-rxr::a-,�c---,�rr:.;c�c,•.,,,:,- -rw.,v.,.•::.,w.r.»,,:...,•:. -::
USED APPLIANCE.<400.000 BTU
AIR HANDLER <10.000 CFM
f+uSnYY{-w.,,�v:: y,.vY�{{i:`ii::r{:-`.�5`.}^•l:-{Y.S,.�'Y.:?
NOTE MINIMUM PERMIT FEE IS $35.00
SIGNATURE
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x 1.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x60.00 =
x 12.00 =
x20.00 =
x25.00 =
x35.00 =
x 60.00 =
x 10.00 =
x10.00 =
x 50.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x100.00 =•
x50.00=.
x100.00 =
x 12.00 =
x 15.00 =
1
15.00
1
1.00
> ,.- -
4.
•
SUBTOTAL
$ 16.00
PLUS: PROCESSING FEE
+ $ 25.00 :
EQUALS: TOTAL PERMIT
FEE DUE
41.00
_$
Spokane County Division of Buildings