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1991, 07-25 Permit App: 91004482 Mechanical Fixtures hfiECHANtc 5L I ,_RMIT APit.ICATIONr FORM �P.s" . .1"_- . Information\Vorksheet , / t JOB STREET ADDRESS: East__6911_ 10th �`/ �j ..-- 1 j8 4 CIT`(IGTA-t" flr. Spokane,- Wa 99212 OWNER: Uhde, Gail ______________ PHONE NUMBER: 326-6923 MAILING ADDRESS: Same ---- -_--- -------------- (Street) (City/State) (Zip) CONTRACTOR: Sturm Heating, Inc. LICENSE NUMBER: STURMI* 2.10 OF PHONE NUMBER: 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 = WODDSTOVEflNSER7<>'. : :' :::: . x 25.00 = GAS WATER HEATER • 1 x 10.00 = 10 .00 -. GAS EQUIP#IENT<i00;0O0 DTU(INCLUtDES ,: x 12 1 12.00 = . 00.....;..::. GAS EQUIPMENT+100,000 BTU DUCT\'YORK) I1 x 15.00 GAS PIPING{EA OUTLET).. ' - - -- 2 x 1.00 = 2 .00 j BOILER/REFRIG 1-100M BTU I x 12.00 = I gOILER/REFRIG ,01-530M STI` >, x 20.00 = 1 BOILERIREFRIG 501-1,000M ETU i- - x 25.00 = . 3OI E'/R Rl_G 7' 000, ; ,750} _ -,I, - BOILER/RE ;IG +1,750M ETU U '. a� - I x60.00 = DL;M IR CCPD TIO - c - x12.00 _ HPAT U i r HEAT `'U!.4 Xt.It4 .,Oi\D1iaOR _! 1530 V •:Sx25.00 = - - - HEAT PUMP &AIR CONDITIONER 30-56 1O,\S i - I x 35.00 = i -1EAT PUMR$AIR.CONDI.1 IIO,s!TR 3O.TONS x 60.00 = VENTILATING ILATING FANS I - ' 1x10.00 = i 1 'EVAPORATIVE COOLERS x 10.00 = 1 TYPE I HOOD (PER 12 OR 12' PTN. Or= HOOD) • I ( x 50.00 = TYPL- IIHOOD : CLOTHES DRYER i---- x 10.00 = I xi0.00 = RANGE : .! ____i x 10.00 = J GAS LOC -- - 1x - 10 00 ..SISCcLLANCOUS ( OTC.. .:. 1 LS=Ndl7t_f i i 1000 - UNLISTED GAS APPLIANCE <400,000 BTU II x 50.00 ULINS!_ED GAS APPLIANCE:>400;000 BTU x100.00 = USED API LIANCE<400,000 BTU - " x 50.00 = -- yl 71SED AP.PLIANCE>400 0OO U T U . x100.00 = AIR HANDLER<16,00O Cs--44 - --- ---. '1+01../N01 EIl>(0,O00 CFM i >;1 x 12.00 = _ . ::.: _, ,- i 15.00 =_ SUI3TOTA1 �, 24 .0(1) 1'I US: PROCESSING EEL 1 ;, 25.U0 1401L: MINIMUM PERI,411- FEE I' <.,35.of) IJAt S. ------ -: ( OIJAI_.�. l-Ol-/al_ PI=R1.41T - - 5- , 1=I"I DUE c 49 . 0 ,, :) fr, ,` -,\ I 1 ,.. ,11,,E-7r1l, c,,, 0,, m:, • 1 r)..-, ,•