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1992, 10-09 Permit App: 92008634 Mechanical Fixtures #6431 • ` 9-25-92 - MECHANICAL PERMITAPP_LICATION FORM •(�, � .'50,, C: add £F.1? Information Worksheet - `', IL) j Of i g ( E i RESS - 5919 E. 10th - =�='. : _ ". ,OB STREET ADD r CI tylSTATEIZIP' S kane WA 992 T2' - . PARCEL NUMBER:•i--i9L1 0 7,3 -- :. ••'•- OWNER: Donald Kier PHONE•NUMBER:'-- 534-4112 • • - 5919 E. 10th Spokane WA 99212 MAILING ADDRESS:_ (Street) (City/State) (Zip) CONTRACTOR: 'Sturm Heating, Inc. - UCENSENUMBER: STURMI* 210 QF PHONE NUMBER: 325-4505 - ADDRESS: E. 204 Indiana Spokane WA. 99207 MAILING -. - -(Street) (City/State) (Tp) MECHANICAL WORKSHEET/FEE SCHEDULE • NUMBER X EACH DESCRIPTION -- OF UNITS . UNIT =AMOUNT • EGTRtC//OUCTWORK(SEPARATE SYS t tMS) x 10.00 = • p o 0.89 �,:< :u �x.x _ x 25.00 = GAS WATER HEATER. - . 1 _ x 10.00 = $1-0.00 -- • 111P . - :. .f s,6 E ET.Mt OL•.P • o 1 x 12.00 = $12.00 . GAS EQUIPMENT x-100,000 8_7U DUCTWORK) , x 15.00 = .GAS4 IP„ �`'.u-`f m y,•i�,gef..=r ,,,. ' f3.: ?cc `. ri.. 2 X 1.00 = $2.00 +BOILER/REFRIG 1-100M BTU x 1200 = • • • • . - _®1I Ef 1R :.Ya. e e s"�ui aft '' 'd. ^T� a x 20.00 - • _ - BOILER1REFRIG 501-1.000M BTU • . •.: .;_-.. ._.. .• _ x 25.00 =.; . • t i tGx t00 g-;.1 7:SOM 4V141 4f x 35.00 BOILER/REFRIG 4-1,750M BTU " x 60.00 = "- vi ExToQk _I,wey. R 2 ,I TiO. .ER b-. -..:ONS;< rt x 12.00 = - HEAT PUMP&AIR CONDTONER 3-1_5 TONS x 20.00 = i� EAPp AIRCON«D_z O E"RMR15 . O sy.`rSwry3 x 25.00 = . HEAT PUMP&AIR CONDITIONER 30-50 TONS' x 35.00 = - EAT,-.1 MP Ds.ONDITj-jNE'.+50,c o . o :zm x 60.00 = • • VENTILATING FANS • x 10.00 = - �PflF3fl`T �`•0��* fFR'zAzEsfs;yi'Fnri !` x•10.00 _ TYPE I HOOD(PER 12' OR 12' PTN.OF HOOD) x 50.00 = pEitt_WOOi „.:f •`4�%`f, >•>(I :,ikirf •sq", :, _',Wi.-.. 10.00 - CLOTHES DRYER. x 10.00 = •t\I'G.E'�'•-�,- `7:6 «..as��.��.•.�.�:�>.;��ileetec .��>tisa. .r x 10.00 - GAS LOG • . x10.00 = . ,-i ._.. i 1:.ct'1.:,•l.0A ,y Q, .F,I.EO.t Lt:S.EtA1)jg£ ';• :- -- •x10.00 - . UNLISTED GAS APPLIANCE<400.000 BTU ' x 50.00 = - iI_( SiW �..».,•, f ..`�- xi 00.00= - 5,ARP. ANCE?4i30�.00 B11��'y��-,. ' •,y,<w, - USED APPt1ANCE x400,000 BTU - x 50.00 = . StTAPIiIANCBOt)00;,$YJ ;rwti; * xr`'{< ,'. s«y!: x100.00= ,. . . AIR HANDIER<10.000-•CFM - X.12.00 = 1R t1s1L R a{- ,. lYa. «`'a:-1,"-�,;:...; �fl ,e.a • • x 15.00 _ - - • • _ SUBTOTAL S 24.00 . PLUS: PROCESSING FEE• ' +S 25.00: ' • NOTE MINIMUM PERMIT FEE IS S35.00 EQUALS:TOTAL PERMIT • FEE DUE =S 49.00 SIGNATURE_ -- - - �- / - -