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1993, 04-22 Permit: App: 93002780 Mechanical Fixtures #7031 (A \,53, q(°°. 9. .2 4-15-93 MECHANICAL PERMIT APPLICATION FORM Information Worksheet - -5(.0(-7 JOB STREET ADDRESS: N 604 Virginia Ct CITY/STATE/ZIP: Spokane WA 99216 PARCEL NUMBER: OWNER:Mr Holland Ford PHONE NUMBER: (509) 921-0942 MAILING ADDRESS: E 14222 Sprague Spokane WA 99216 (Street) (City/State) (Zip) CONTRACTOR: Sturm Heating, Inc. LICENSE NUMBER: STURMI*210 QF PHONE NUMBER: MAILING ADDRESS: 204 E Indiana AVe Spokane WA 99207 (Street) . (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH I DESCRIPTION OF UNITS UNIT =AMOUNT 1 ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) 1 x 10.00 = 10 00 ..................:...:..,...:.::.... .y, a`•. i c:?;.v,}. R:.?','i:•E'�C'`'v<•:ti?<::iix<:i;;:"i:>};::ri.:;:-:r..:�::.... = �N(��L')� ` VI����'�':.:.:. -�::}::.}}:::::::.:.�x}:::.�::.:�:::::.::::....:':.::::::....:.:.::::��:»- x 25.00 GAS WATER HEATER x 10.00 = gA..n. E...UPM... .:.Nt: ab.xxe l C,D S rx :> x 12.00 = GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = f....;,_;:.:,_.,:;,.::;:•:_;.,;::;.,r:n•:.;.,};a:::.:;...::;.•{.,w„n•,-_••.. gee:•,�,,.},.�,:. .c}K::.,:.}::.,...;.;..x: ,..M1:.x�;.}}:;-}•.:::;r� AS PItP'ING,{gA QUT :'.q��• v: :�,; .,.... ry:;::<:::<::::;:: • X 1.00 = .... vA:vr.:k:f:'4:YrvWv.�Cyv-.'+vGWAv: -':�� �`:•:ii........::{' .h.:\Qv.v.. BOILER/REFRIG 1-100M BTU x 12.00 = .}}S�{�.y:wpvv ,vvM:-}}.rS;:irfii:;ii,%;:i:iY:i:�`�:iii`:-:Yi}iii}Yynw::ii:{y:�>.:: >... S%ti>.•v}�fit;:?i+l: ::;p�i t�:::ii:gi:::ii;:;i:;_}rr::•i;: •:t��(LE#:�f��i=���:���-•..i':"'...�..� � `�Ix;•}}:<.;:••>:::�: >;;;•>}:•::•:::.:ii;:;:<•::w•i:: «:•: x 20.00 = BOILER/REFRIG 501-1,000M BTU x 25.00 = :{M1{.yf{;:h;:•;y{my/.i{, 'fx4vyv�x::.x:{r;.i:;h;i•;ifrkit:f?±':?iy:t-:+:�: �:,i}$::i'vi'; M:::13::: ��>4: <:�:a»r::: .: :N x 35.00 = ...:.vw::::.vv:n:::-r:::x:•:•v:•r...:tw.:.....rr.xv.: .v..... ...................... v......... .. BOILER/REFRIG +1,750M BTU x 60.00 = `:`}':.`'E:.` ;:1 E :-T:< : tinii ` x 12 = 4 �t��A�`<�?$�t�N.I.�'+1fc::�..f�..�"-..t�:�t�.... :�:��e: n_:���a.....:;;:: n.:�#``s,••.::� 1 l� 00 t xvP.xrrx ..x,�.,,.;;;-�x3ix. . �.-i::t-r.,,-xr: . 00 _ HEAT PUMPt&AIR CONDITIONER 3-15 TONS x 20.00 = ,:.;,.::.,�„r.�'..:�.v .v�,�,..;�..,..:�'1`}":,}.:.:,:,:.;:.};};;:,}>>;•<., x 25.00 #`'"I!??rJ�ai :a;, B rtik • t 1 S n} >- = 4'•-:tiJ}};.v::<ti:;•i'nv;;•:v}hinv:x}ivn wew.Oti Aw:;hu,4:im4:.J}:;v:.vi{•i:4iv.••ri ..'vr':\v h4: •%:� HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 = .,::�{.,,w:..;::..xr.}..y::r.. ; �.. r:x::,�_,;;.;�Yx.Y:.,:.,x;.;��:>:;« :;h><:t; ;, `H ` (P 8 ER:: O :;: $O:,TO s:: :v: ::; x 60.00 = ......... :::a.:::::::.-::!r.-x:::::::.:::...::oxw: e.'ih ,.•.r.:.«...v.,................::.,.....:.......:.:.�YaS.w:.•.v. � � I VENTILATING FANS x 10.00 = > C` .BR''S !:.y • .{!fr L 'i � ..'- ::.;• ..: r-.:t�;r,,:: : x 10.00 .T1 A7�#F1.'}:#-:.:...:�-��!t��... •�}n.;..�., k y ��:n::vx.:}:�;;..n:�:--,�'cc:.f}��•.<�nr'' = TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 = ...I�).......el:Q............:. �.' `. s::.,. .:.�:>...:::....,., x 10.00 ........... CLOTHES DRYER x10.00 = EagetitiNE ALvnF011 x 10.00 = GAS LOG x 10.00 = max:.:}.:::.}.,:.:r:::.v .. K tOgge1% #. f Sk'`:.,.,,ai}}..K. :.rxf £(5 11.1.. x 10.00 = UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = -------------;..:..x.Y;:....:.Y:.�.::..a}r;wr,,;...,:Y.•:;:,.:;.:::.,.:xi:•;•::.}ii}::;:; iii:;:.....�,: }.. �U. 1. S: .0 :::.�Ot:I:. �l: :ii' :•;•:S?;:,y.;.}: 00.00= USED APPLIANCE<400,000 BTU x 50.00 = .US..:..:.::::: ,,..;'."': •::::het° ::::.............. xY:•::::.:i:}:<:.:}:.:.:i}i;:•::•::.,•f RME•iiai::•}:::•KIK:;:- x100.00 AIR HANDLER<10,000 CFMx 12.00 1 = 12.00 Ag ?11KOMISOUtitV4WWW:MOMMONE:........::.::...............:::::::::::................... x 15.00 SUBTOTAL E-___ c PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT FEE DUE _$" - 5q B-a • SIGNATURE Spokane County Division of Buildings �i.�.-