Loading...
1992, 08-21 Permit App: 92006704 Gas Log, Piping- MECHANICAL PERMITAPP.IICATION"FORM Information Worksheet - JOB STREET AODRESS; =--I- : 4718 N st Cheri-":' = `.. . • Sr_ . •. •PARCEL NUMBER.: ' OWNER: F� �; A tan - PHONENUMBER: '•- ( 509 ) MAILING ADDRESS' - 4718 N St •Charles (Street) CONTRACTOR: -Sturm Heating, Inc-. lJ� - 6278 8-18-92 MAILING ADDRESS; E. 204 Indiana ' (Street) MECHANICAL WORKSHEET/FEE SCHEDULE 325-4505 ' (City/State) LICENSE NUMBER: PHONE NUMBER: 325-4505 ' CZip) STURMI* 210 QF Spokane (City/State) DESCRIPTION • ELE-C•RIC/DUCTWORK (SEPARATE SYSTEMS) -n o s�x w x • GAS WATER HEAT ' m:IP.M • C: bbE. GAS EQUIPMENT+100,000 BTU DUCTWORK) •GAS IPI.G- °Ilr4 BOILER/REFRIG 1-100M BTU , " ,WF U` Os- Qt•.Q. BOILER!REFRIG 501-1,000M BTU • -. • .: ;;;: .. •- . - BOILER!REFRIG +1,750M BTU . P :. �• . 01 . HEAT PUMP &AIR COHOMONER 3-15 TONS EATP F 1P gaTa hate , Ems. 1g�r Q aW^�; HEAT PUMP &AIR CONDITIONER 30-50 TOMS' ! EAT MP CONI ,oNE• • VENTILATING FANS, A . 8.`••T' TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) 0 eft' CLOTHES DRYER. <. GAS LOG Y zt UNLISTED GAS APPLIANCE <400.000 BTU ' USED APPLIANCE<400,000 BTU tcLif•}iA43PI Ai`iC'i ".::�{fii�}4�� ;ws.`':tow .s ?<'� te*..„Aly AIR HANDLER <10.Q00 CFM O vv ccam�. -000 CFM ,.<;«:- �;,:., ; 1 n_r.': IR (3. V��t .""+ i�;�'ro • 3,w%1` rDr ,A�RZ a�`%f !� X NOTE: MINIMUM PERMIT FEE IS S35.00 SIGNATURE__ WA. 99207 (7p) NUMBER OF UNITS . X EACH UNIT =AMOUNT x10.00 = x25.00 = x10.00= . - • .. ...- - x12.00= x12.00 = - . x15.00 = x 1.00 = x12.00=. x 20.00 = •- x 25.00 •_ • ' x 35.00 = • x 60.00 = - X 12.00 = x20.00 = x25.00= x 35.00 = x60.00 = x 10.00 = x-10.00 = x 50.00 = x10.00 = x 10.00 = x10.00 = x10.00 = X10.00 '•-•' x 50.00 = x100.00 = x 50.00 .= X100.00 x12.00 ' x 15.00 = 1 1 _nn ... • • - • - - . . •' - - - - • - • • - • i 1n_nn 4 -- ' . • • SUBTOTAL S 11.00 - PLUS: PROCESSING FEE , +S 25.00: EQUALS: TOTAL PERMIT FEE DUE = 5 -ice nn