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1991, 04-04 Permit App: 91001584 AC f • a MECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: 11308 E. 6th CITY/STATE/ZIP: SpnkanP, Wa_ 992 16 PARCEL NUMBER: OWNER: Everett Wagner PHONE NUMBER: 924-2290 MAILING ADDRESS: SAME (Street) (City/State) (Zip) CONTRACTOR: Sturm Heating, Inc. LICENSE NUMBER: STURMI*210 QF PHONE NUMBER: ( 509 ) 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 = ...ODDS'VANSOR'I' :::::::< :>:::>; :::::>: =>_: x 25.00 = GAS WATER HEATER x 10.00 = 4S EOL PMeJfi oo,000.BTU{INCLUDES : x 12.00 = GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = GAS PIPING EA OUTL {.. ......... x 1.00 = BOILER/REFRIG 1-100M BTU x 12.00 = ilk_....,:.>.::. ... .............,::... ..: :.;.....::.;:..;.:;_::_:..::;_>`.....,„.....:„,......,„,_:,„:„„,„„„„„„,,,,„.x.„,.„,: > Q1 fl/AE�G.4.01 O.W Tt ;;:.;.::-::i*: x 20.00 = BOILER/REFRIG 501-1,000M BTU x 25.00 = O1LER/REFRIG 1,0001. 1,750M BTU :::> >;;.::::.>::::;: :;:.,: :. >. x 35.00 = BOILER/REFRIG+1,750M BTU x 60.00 = H.EAT PUMP&AIR CONDITION ER,0 3,TONS.:..;;..;<:.:.;:;;_.:;:,;::> 1 x 12.00 = HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 = HEAT PUMP ,IR QONDITIONER 1530 TONS ... :>_::>:=:::::: x 25.00 = HEAT PUMP&AIR CONDITIONER 30-50 TONS x 35.00 = PUMP&AIR CONDITIONER+50 TONS <:>:>.=:><:> x 60.00 = h T........vY VENTILATING FANS _::.::., :::.-;::::.;->;::. .; .:<::>:::><:::>::::>;::::<::;::>::>::»:>:>:<:;:::<:::-:;.:.:.:..:.;:.;:.:;.;:.:;<:: . -: x 10.00 = .PORATIVE:COOLEI ..;-::>::::::::>_:::>:<:::<:>::::::::;::»::::::>: ::»:: ::»>:=::>:::::»<:::::<::=::>:<:::>:::::::: .:::.:.....:..... .... ::::::,.::.:.::.;.:..;.::.. ---::.... x 10.00 = TYPE I HOOD(PER 12' OR 12' PTN. OF HOOD) x 50.00 = :;--- ... ..........:.....:: :::.:::::::::_::._: :<.:_:;:.:;:-:::.>::.;:.;><;E:<::»:>:<:::::>:: :: :::_::»>::>::::>:::>:>::>:::::g:=::::> x 10.00 = CLOTHES DRYER .;>:.;:<..: .;:.:_;::.:;.:;.:_:.:.:; : ::::.:::::::.................... x 10..00 = ...:.:ANG .:::<.::.::_::<.:;.:::: :.:;::_:.;;:<;:.;:.;:.;::-<;:<::;.::.:::.;:,::>:;;;;:::.;:<.;;::.;:.;;:;:.;;:._.;;:.;;:;.::.::.;;;>:;:-:.:<.;>:;:<.;:.:;:.:.;:::: . . ... : : :»>::>:: »<:»:::;>::>: :::::«:::::_<<_ x 10.00 = GAS LOG x 10.00 = MISCELLANEOUS(NOT COVERED ELSEWHERE x 10.00 = UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = . .::....:...:: ULINSTED GAS APP tANCE>400,0 00 BTU ; > :;> i:::> __ ��`-��-�; - x100.00= USED APPLIANCE<400,000 BTU x 50.00 = :U ED APP ,iANGE>400:000 :;;::::«:>;:;.;::>: x100.00 = • AIR HANDLER<10,000 CFM x 12.00 = AIR HANDLER>10,000CFM :::.;:.>:::::._ x 15.00 = SUBTOTAL $ 12 .00 PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT FEE DUE _$ 37 .00 SIGNATURE.,-k.. .-i- - �'v--� L Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675