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1991, 10-14 Permit App: 91006797 Mechanical Fixtures w - r MECI-i.A.NICAL PERMIT APP.LICATIOf4 FORM-.-•-• • • Information Worksheet • • • • : ; •, • JOB STREET ADDRESS: S. 34 01 Whipple • CITY/STATFJZIP: Spokane, WA 9999206 PARCEL NUMBER_ - OWNER: PHONE NUMBER:Mr and Mrs Donald DeLong 922-0218 MAILING ADDRESS:S; 3401 Whipple Spoakne, WA 99206 (Street) (City/State) (Zip) CONTRACTOR: Sturm Heating, Inc. LICENSE NUMBER: STURMI* 210 QF PHONE NUMBER: 325-4505 MAILING ADDRESS: E. 204 Indiana Spokane WA. 99207 (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION _ OF UNITS . UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = _ un«y.{{e«vw it:{}n:K{ «.FM1{:w+.4}vv�.'�:y?:.:vr� }:i'r?vrx:r r:+ iv,{e«: '4:X::v::.v::::.;n-.:.}:;•i-:;q-:-:::::::•i::CiYiv'ti�ti- ;Vi!OO:O.SOU_ '. R.......a , x 25.00 = nN M �•" ti»;,\,,,",v„"rX;;;ii;iisi;;ilii:;;OX<;;tiivn�::iLiLvCtii'n{ :::iriJ:Cw'.t::::�$:.::4 �aa.»,,,a,». „ HEATER • GAS WATER. • 1 x 10.00 = 1.0. 0 0 , • nr.,:N.- .Jr .wy,•!r lv.r�rN: :r{iy w.:5:{t{i{.•l., <. EntT :o-ems<s:U "ir�c :rDr= p f «wr« :GA-S;,EQt3.I17,re-»a;•:;:;;22 :- rx,uu«{;-:x-..`:u;-: u;•:: ;aook:5..�<t : ':v a '''-i::N 1 x 12.04 = 12 00 GAS EQUIPMENT BTU DUCTWORK) x 15.00 - • .GAS„P;!P....,ta.:(.�.r«...«. ' ?.).MmvAv:<- >k >«ir> : 3 x 1.00 = 3. 0 0 BOILER/REFRIG 1-100M BTU x 12.00 = • ±:rt rrn R(QI.I IItP.,RIG<:�:-:.){ - «,,.,. «.,.«, .-., ....v,:«:...,...... x 24.00 = •BOILER/REFRIG 501-1,000M BTU - • . . . ±:v, :: x.25.00 = . ,..Mw.,w.w!nw.vro{xr.�rvvwm�r<�•{�.y,4v{: r .. ... . 4 1 7 M IG. T i801Lt<„�/F?�.;»>k:;,.:,;:<»;..;<a,a.->:;>:<:::;;.::-::_:::;;.>:<::.;.::;:;- ;>: ::;>:;::>::»>::»:<«<:>:::>ri::��::�>: x 35.00 = •BOILER/REFRIG+1,750M 8TU x 60.00 = . NT:IM8 N&Apt R:CQ.:.,D(T(ON 0=3 CR TOt�.,.;,.;::-;';.::_:;;;;>:;;;:;. x 00 I:EAT PUMP&AIR CONDITIONER 3-15 TONS • • • x 20.00 = I taigYSR::&;AIR:CONDi. O�NER':7'5'-30:TO\'S;>:«•;;:<- :` > <; .;»;,;-: „�,,,;,;;,,,, ,,,,a,�«v«:,,-«,::>;.:::::;H.:: :;:";;M:;->:....«..,, .. >� x 25.00 = HEAT PUMP&AIR CONDITIONER 30-50 TONS l.... I x 35.00 = • O\.wFvruxx{{ry{:{!�nru�v{5ry}w:«�ily.,:<wr{.{:{rr{{;.vx:r:x�{?x::.:x.;{r:;'ny«r:rryrrry{e{arvi{�:n:•;•^}}y,:�+.fn :{-IEAT PUMP&A1R GONOITIONER}+50 TONS x 60.00 --= VENTILATING FANS ' x 10.00 = • - >,I.E.R. r,. ww<;�;,,:.;a<a�:�;.-a<;;»»;�:»,;;ai;,.aH;;.:;; :: .�::>:; > :�:;:;_>:<:H:::�m�.::w:x.:v::<::<: : : x-10.00 TYPE I HOOD(PER 12'OR 12' PTN. OF HOOD) • • x 50.00 TYP E !1� H OO psx t CLOTHES DRYER. ::..;;;;:;.;';,;,:;;;:•".;::_::::::: x 10.00 - NG GAS LOG « • 1 x 10.00 = 10. 0 0 ISG tANEO.IJS NOTG:OVEREb Et S NA , . , • . • • . x 10.00 =•�' '' ' F.,....(4:0-3,. NLISTED GAS_APPL(ANCE• <400,000 BTU x 50.00 = «,.,:y}Y.'::^•m;,�•ti!'shi:{y:!i'4:-}:•:.{�•{r::.n• n:•:.y? :.� :. :.y:�:•Q-^ LIt STEO:?GAS AF.P 1QN.CE>>400"0.00?I3 .�: �,�,a�aas:;o-:»a::::»:,:;a,,,..�:,..�.a.-.a,,,�,,,-.,�,.a:a:..<a,-««:R.-:::r :�:..:�.:-:.,•::«:...::o-:>:;;:::<;•>::�:a};:�::N::� x104.00 - USED APPLIANCE<400,000 8TU x 50.00 = > 4 00r ..E. 0 0 P G 0��: I IAN ............:....:::. .::..:.{:: ,«.::.ar,. «.,.........:.,:........,.,«.,...««.........,. • x100.00 = AIR HANDLER<10,000 CFM • - x 12.00 JiIRNANOLEE ! 0 :::::>:»>;:;:;:;::>::>::»>. x 15.00 = SUBTOTAL S 35. 00 . PLUS: PROCESSING FEE • + s 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT FEE DUE = $ 60. 00 SIGNATURE rnnlronn (-silt,.,,,, fl;,.;:.:.._ „r n..'i�'---