Loading...
1992, 07-28 Permit App: 92005816 AC • �� �c 6185 C� f \�62o °�a 7/22/92 2' S� �` co `O. __ - MECHANICAL PERMIT APPLICATION FORM • • ��a lnformaiion Wo>lcsheet : - JOB STREET ADDRESS:.•••�• 1706 S Vera:-.Ott=Or. •.::: `. . . CITY/STATE/Z1R Spokane Wa 99037 • . PARCEL NUMBER:• -' • .• - • • OWNER. MR MRs. R. Virefe PHONE NUMBER: . (5091 921-4252 MAILING ADDRESS:_ 1706 vera Crest Drive (Street) (City/State) (Zip) CONTRACTOR: 'Sturm Heating, Inc-. . LICENSE NUMBER: STURMI* 210 QF PHONE NUMBER: 325-4505 ADDRESS: E. 204 Indiana Spokane WA. 99207 • - MAILING A -- • •(Street) . • (CitylState)• (Tp) MECHANICAL WORKSHEET/FEE SCHEDULE • NUMBER X EACH DESCRIPTION OF UNITS . UNIT =AMOUNT . ELECTRIC/DUCTWORK(SEPARATE SYS t LMS) yya�tt x 10.00 = OOOS >bV" 1WS. I -;;,..' ..ze;: o.v c..Lil?.3fi4i�tab. . X 25.00 = WATER HEATER • x 10.00 = - - GAS c$.40(10,$` 3 Qt.=.C<?. ISAISM x 12.00 GAS_EQUIPMENT+100,000 BTU DUCTWQRK) x 15.00 = • •GAS P G4 sem` SO x 1.00 _ „ . BOtLER/REFRIG 1-100M BTU x 1200 ' is©11. 19 1 . :ae . :SW.,?4,..'., r' r" E x20.00 - •• BOILER/REFRIG 501-1.000M BTU . •. ..: .::.;-., .. .. x 25.00 801LEMBERR iGTIf 0 lkg-MDt4argia it x 35.00 = BOILER/REFRIG+1,750M BTU x 60.00 = < z s : 1 11'x. lj�,P:.MP.&"'.RCU :.o(��b. .ER"b- ...;O�NS<:;�.<.;>�.$�zis>s� x1200 = 12.00 HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 = -° "'� iCOND1x�0f Eg 1S4T0 S x25.00 HEAT PUMP&AIR CONDmON,ER 30-50 TONS' x 35.00 = 01/4;_i-.'.1 MP$ ',1":GON.0.1T,1ONER?+5o. . o S1,41 s x 60.00 = - VENTILATING,FANS x 10.00 = • .A R1 Y3 . ; .f _ 04;001 1 x-10.00 = TYPE( (PER 12` OR 12' PTN. OF HOOD) x 50.00 = TY.PEi .HOD© -.,: r ,,•: ICtk 5.:,.,:Ts c?w a;-�: x 10.00 - CLOTHES DRYER. x 10.00 = a4 �.� <L'<iE.ySG CM:ic%'a:GYr '�k :�%o, ,C" BFa.y.•. = ...: ;.::_� ft ��- °p'�:ijcY�M1>20 x 10.00 =r. f:: .: .,;p`,.... ,.., c;:sz-w�:x��^ =.,c=' .s�....:R ..f`..:r. GAS LOG • • x 10.00 = `1. tr. . . .t'1S or y®V'EF E[ USENI ER �i,, . x 10.00 - ' UNLISTED GAS APPLIANCE<400,000 BTU • x 50.00 = RRIAN.C ;>400;000€6T `° M� >L x100.00= • USED APPLIANCE<400000 STU x 50.00 = SEDtAFPt A'OEP'f10.. 9'000 BTLi-"1,£.'��•; .6,4- `r<s.s;%mss x100.00= - . . >r ��i1i.'-S2F.i <,i>T;Fu%„ • AIR HANDLER<t0.000 CFM • '•.•. . x 1200 1R1Z�fANQt�R��a.��o�cF:_M.:.�r�.�.�>;�::<�.<v,:>.<.�:• ..ta�.:�:�:�I�� xis.00"= SUBTOTAL $ 17.00 PLUS: PROCESSING FEE• 4 +S 25.00' NOTE MINIMUM PERMIT FEE IS S35.00 EQUALS:TOTAL PERMIT FEE DUE N700 l SIGNATURE___ -- /