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1991, 07-12 Permit App: 91004186 Furnace, AC
sus 4 MCH/41'CAL PERMIT APPL(CATlON FORM L € Information Worksheet " .5 : JOB STREET ADD HESS- East 6313 9th ^' CITU/STATE/ZIP: Spokane, Wa. 99212 PARCEL NUMBER: d�7 � -6', OWNER: Richard Waldow PHONE NUMBER: 535-9657 MAILING ADDRESS: Same (Street) CONTRACTOR: Sturm Heating, Inc. MAILING ADDRESS' DESCRIPTION E. 204 Indiana (Street) • (City/Stale) „ (Zip) LICENSE NUMBER: STURM I* 210 OF PHONE NUMBER: Spokane WA. 99207 (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) ESDI! NUMBER OF UNITS GAS EQUIPMENT 4129,00o BTU DUCTWORK) GA$:PaI.PzING ..c m .T.' Ra :.,i�' BOILER/REFRIG 1-100M BTU girolL'r w:4�I.G '3-Sogr� t BOILER/REFRIG 501-1,000M BTU Plaa,$ FA,.R G ,0 ti 5:6W U BOILER/REFRIG +1,750M STU f E T;.PI'�WP,Z P, rONDITIO ER0 iO S' HEAT PUMP & AIR CONDITIONER 3-15 TONS uEA p }1P RgG0YDITION1 8,117.0 OSS ,I HEAT PUMP &AIR CONDITIONER 30-50 TONS -ONDITIOKiErOTO\5,'\i VENTILATING FANS A'P.®Ant-1 .k ,§Nigc, TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) PE rli©00, CLOTHES DRYER. GAS LOG )SEtt5E0„EJ.„S(NQ7``COV cREDCLSEWHL'HE aa+`;? gU,�NLISTED GAS APPLIANCE <400,000 BTU Lit S Le2,MCE;Sa00;000 'f3T11 USED APPLIANCE <400.000 BTU EP,A,Pc IAA 201002srcirl AIR HANDLER <10,000 CFM AI OICRRP7o OCFM_. NOTE: MINIMUM PERMIT FEE IS 535.00 SIGNATIJI IE di' _�.Ck,k-a-/ _T\ Spokane County Division of 13u 'dings X EACH UNIT x 10.00 = x25.00 = x 10.00 x12.00 = x 15.00 = x 1.00 = x12.00 x 20.00 = x 25.00 = x 35.00 x 60.00 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 x 10.00 = x10.00 = x 50.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x 50.00 = x100.00 = x 50.00 = x100.00 = x 12.00 = x.15.00 = =AMOUNT 12.00 12.00 SUBTOTAL 24.00 PLUS: PROCESSING FEE a. $ 25.00 EQUALS: TOTAL PERMIT FEE DUE 49.00 J