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1992, 08-07 Permit App: 92006194 AC ,35,o ; (- 9--1-5 - ' t)(A qz- (019t4 r 5957 2-15L431 7-30-92 92 -• MECHANICAL PERMITAPP.LtCATION FORM _ _ information Worksheet • - JOB STREET ADDRESS=• 3012 S Vercler :_ "' , C[rYlSTATE2I p;_. S Wa 99212 • • PARCEL NUMBER; '' OWNER: - -•• u DA 1 • - PHONE'NUMBER:''"(509) 928-5286 ' MAILING ADDRESS: 3012 S Vercler Spokane Wa 99212. (Street) . (City/State) (Tap) • CONTRACTOR: Sturm Heating, Inc. . UCENSENUMBER: STURMI* 210 QF PHONE NUMBER: 325-4505 - E. 204 Indiana Spokane WA. 99207 - MAILING ADDRESS:_ (Street) (City/State) (Tp) MECHANICAL WORKSHEET/1•• SCHEDULE - NUMBER X EACH DESCRIPTION -. OF UNITS UNIT' .AMOUNT' • ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = ' z,�:u�a�waxx�:� x 25.00 GAS WATER HEATER . - • • . •- x 10.00 = - L:JIPM . U`° ; 01.•:.0.. `r '. x 12.00 = GAS EQUIPMENT+100.000 BTU DUCTWOR •K) - x 15.00 = ' • 6§-{P, iP�h1, •••0 VnI -V.A ,6:.Y;:�. :;• ,0 :A.:S `. ;c :,;;:.'i' x 1.00 = BOILER/REFRIG 1-100M BTUx 1200 = . !: It R REF t ..Y;OR e e . 4$1gr s. ^`• ;r <' E: x 20.00 =_. BOILER/REFRIG 501-1.00GM BTU ._.. x25.00 -25.00 ;.' . 801tR1F1FAfGz7a00. ��1;7':S0Ta x 35.00 = . BOILER/REFRIG+1,750M BTU ' • x 60.00 = ' view P .MP. R GU :.»(T1® ER 6 3 740:1340211411 x 12.00 = - 12.00 HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 = • P..FAQ PI.M ,F AiRJCONDIxIQ Egf1.5.: O .5 412, x 25.00 = HEAT PUMP&AIR CONOITIONER30-50 TONS' • x 35.00 = • - , E,AX;•.JMP i44 ",GONDIa";l- �E+S0. o • S >° zt x 60.00 = VENTILATING FANS x 10.00 = • • .E.1%171"....,....)._07,•. .^-� -> _,.^est r� �(;-�•".�n-•r.•}yam , f{ .1: ,<772°�=���r.: ?;:Miitgitt• 1j6••zirrrRY3. 4:w" X 10.00 - e�1:A ••,•h.....a�,.�Gio..:2:<J-r...e�rw.r_�:e.°wa, µw. • TYPE I HOOD(PER 12' OR 12' PTN.OF HOOD) x 50.00 = „a,-,:z7., li �r<�,;,- x 10.00 - CLOTHES DRYER. ' k 10.00 = +. 't ''tE.ir.�1Y •Kt-wNFii Jfs.Y.' -� -...' °S.:4107, x 10.00 = - GAS LOG - . . x 10.00 = .:1 c�OP .C 13 t ®t Ovl> F EDiEIS N' 3 74. -• - - x 10.00 GAS APPLIANCE<400,000 BTU UNLISTED GAS 50.00 = U.. STOIGASQP.''ANCE-0:0001161.1�raw f+0<rIT xi 00.00 . USED APPLIANCE<400,000 BTU x 50.00 = SEDtA13P(x•ANC 0.9 Mit; ,-rf,,,..:,� z<, •; �_ , ()00 Ski 1 t:,,w ,��. ��.- x °, w /-• n i:)�c.4•!•.i�.:.�.`'Y;`e4+.• .+iN x100.00 C. AIR HANDi1=R<10.000 CFM ' +w + x 1200 =...• O.CF;M +:•1,4,,,�<<:. <�~-° y --- •- _- •--- - - __,-,-'N©LI R-a� ....a .., r v <.,.r.�:.< s:::z;• f,(1.'l x 15.00 = • -SUBTOTAL S 12.00 . PLUS: PROCESSING FEE' ' i-S 25.00: , NOTE MINIMUM PERMIT FEE IS S35.00 EQUALS:TOTAL PERMIT FEE DUE =s 37.00 SIGNATURE___ _- _ /