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1992, 04-08 Permit App: 92002288 Mechanical Fixtures (A.0•43cne--- .. t.,_ 1 po__A .., .. • • MECHANICAL PERMITAPPLICATION FORM ) .. „ ,,.• Information Worksheet •• ' •' • • ''''• • . 5 r/U • JOB STREET ADDRESS;•• -I' 15802 E. Wellesley ;:•`:,:••,..:;::.;: %••. ...,... ; -• , .... , . . -.... , , Spokane, WA 99216 • ., ' CITY/STATE/ZIP; .. _. PARCEL NUMBER. ' OWNER; ' • : - . '•• '• •••:: ' • • . . Mr andHenrycelley . . OWNER; MrsHShPHONENUMBER: - 926-6086 MAILING ADDRESS: '15802 E. Wellesley Spokane, WA 99216 (Street) • (City/State) PO • CONTRACTOR: •Sturm Heating, Inc. UCENSE NUMBER: STURMI* 210 QF PHONE NUMBER: 325-4505 E. 204 Indiana . MAIUNG ADDRESS: Spokane WA. 99207 • (Street) (City/State) • PO MECHANICAL WORKSHEET/FEE SCHEDULE ' NUMBER X EACH DESCRIPTION . OF UNITS . UNIT =AMOUNT TWORI----W--ELECTRIC/DUC EP RATE SYSTEMS) X10.00 = - - ... , . -,- • < ' ' - . -; 7„,-A, -',,, ,, ,,'5 ',, ,;:i.,:, . x25.00 = . . GAS WATER HEATER . • • . •• x 10.00 `,.„'- t :00IN RaiW*MR,VOM.V4K-4 ,,;,; :,, ,,;,',• ,. 1 x 12.00 = 12.00 GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = • dis'IT;Vre'777-7-17F% • ••, ,,,,,;,, ,, ,,,,„ s„, ;•. ,....:,„,,,,„ 1 x 1.00 = i.uo BOILER/REFRIG 1-100M BTU x 12.00 = - • - - • . . ' x2000 = -- . BOILER/REFRIG 501-1.000M BTU . , „.. • .; ..:.:., •.. ... .. .. ._: . 25 00 • .= . _ . • moLlkr"41:E`". R'4T-crsif 00'34.47,(nmawkiwgli gaz. x .x 35.00 = • • • . - • BOILER/REFRIG+1,750M BTU • • x 60.00 = '. NWP 402400° :13 •:'0 E W•.), *0 1!0•SIV: x 12.00 = HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 = • • 14c.c ,•tts tesaa,pNo 0 ET71; 0,, .0nrii x 25.0d = • • HEAT PUMP&AIR CONDMONER 30-50 TO.NS' • • x 35.00 = • , Itcos.• -lg..i4Olge 0 °40,•kanftZ,M74,] • x 60.00 = - • - • VENTILATING FANS x 10.00 = • rSAfiANG RA.'' ---• P01-- FIS,ftri2SMOrti•Z:.:.::-.•,4 , x-moo = TYPE I HOOD(PER 12' OR 12' PTN.OF HOOD) • x 50.00 = • -jvc.tai : 0 0 DMAUMPP,Mnk ,v;„Ksg),Anz,44: x10.00 = CLOTHES DRYER. Sc 10.00 =• , .• WalrilMACI 0 rittftratIMIMWSZ. x 10.00 = . • GAS LOG • • • x 10.00 = letstil •ousger* m .,... as , •• •• • ,.11 -"• ' - ' • UNLISTED GAS APPLIANCE<400.000 BTU • x 50.00 = . ..e GO Pi,' 610033114 x100.00= - . USED APPLIANCE<400.000 BTU sea ;:-e • ,.056-409i000 ou'afalatiY§Av, •-:-',21 ..1:zu....go x10000= • - AIR HANDLER<10.000 CFM • x.12.00 = . : • • . •- ,:411,S42 ,10,14M.Krift, x•16.615-= --_, ........ . . . • • . SUBTOTAL $ 13.00 . PLUS: PROCESSING FEE• i +S 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS:TOTAL PERMIT • I . FEE DUE =$ 38.00 t . . . I SIGNATURE .'...•A ' / i/ • #5849 ... • . ... Spo One County Division of Buildings _.... __ . . /