1993, 05-25 Permit App: 93003912 Heat PumpJOB STREET ADDRESS-
OWNER:
#7182
MECHANICAL PERMIT APPLICATION FORM 05/20/93
Information Worksheet
1117 N St. Charles
CITY/STATE/ZIP• Veradale WA 99037 PARCEL NUMBER:
MAILING ADDRESS: 1117 N St. Charles Veradale WA 99037
CONTRACTOR:
(Street)
Sturm Heating
MAIUNG ADDRESS: E 204 Indiana
DESCRIPTION
(City/State)
LICENSE NUMBER: STtRMI*210QF
PHONE NUMBER: 325-4505
Spokane Wa 99207
(Street) . (City/State)
MECHANICAL WOR
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
Aikcwoomaa
GAS WATER HEATER
.,.'^' OK . 1:. A. .,.J.>9.$e,. "- :®,'6.r:1tif t. , ....'
GAS EQUIPMENT +100,000 BTU DUCTWORK)
BOILER/REFRIG 1-100M 811)
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG +1,750M BTU
BEMPANDBIBMITEA
HEAT PUMP & AIR CONDITIONER 3-15 TONS
v liMili . it C3{%%',' iti'Ar. ,1:1` :",?.;.Q TYM •`
HEAT PUMP & AIR CONDITIONER 30-50 TONS
.4017.
VENTILATING FANS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
• • J$<:•
i�,,Ss
cc'.'%i;.�
CLOTHES DRYER
MAT',
GAS LOG
Al I Jx.�Y ...AZ e 2_. .. 1,.
UNLISTED GAS APPUANCE <400,000 BTU
USED APPLIANCE <400,000 BTU
11i ,O► '`tea f'r6•_:: .'«:.'t
AIR HANDLER <10,000 CFM
RXf
0 _ .Mc
7 ..w
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
(Zip)
(zip)
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 =
x20.00 =
x25:00=
x35.00 =
x60.00 =
x12.00 =
x 20.00 =
x25.00 =
x 35.00 =
x 60.00 =
x 10.00 =
x10.00 =
x50.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x100.00 =
x 50.00 =
x100.00 =
x 12.00 =
x15.00 =
• 1
$i7_nn
r
1
<'
SUBTOTAL
$ 17 _ nn
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
_ $ 37.00
S