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1992, 10-22 Permit App: 92009234 Mechanical Fixtures �,�.- claw Q9/ r &// - k d 3 aur MECH%\NICAL PERMITAPPLICAT1ON FORM ' `--'' , ./ �. IS7 Information Worksheet - - AL-II-Mt_ s Job STREET ADDRESS: his , . idi C ITY/STATE71P: U - l %7g.12 - - PARCEL NUMBER:-` ,9.4-1 rf OWNER:__ _ (1/ 4 PHONE NUMBER: ' %5-----CNW MAILING ADDRESS=�fyLnlk (Street) (City/State) (Zip) CONTRACTOR: Sturm Heating, Inc_ - _ UCENSENUMBER: STURMI* 210 OF - PHONE NUMBER: 325-4505 G ADDRESS: E. 204 Indiana Spokane WA. 99207 - I�IAIUN - -- - -(Street) (City/State) (Tp) - MECHANICAL WORKSHEEtIF EESCHEDULE - - NUMBER X EACH DESCRIPTION -- OF UNITS . UNIT =AMOUNT ' • ELECTRIC/DUCTWORK(SEPARATE SYS t LMS) , x 10.00 = p o E.S'!•.413S$A ;' "<'. - ,._"Sz, .s. uulx h . x25.00 = - - GAS WATER HEATER . • . - - x 10.00 = eWIPPI - c5,6t,tai :S 0L,-.U: ; , ergMalerg x12.00 = J - . GAS EQUIPMENT+1 OO,O00 BTU DUCTW_ORK)- _ __ x 15.00 = -G�lsig lts, •o.IJ.< .16., ft '; ;0,,, -: ,,..,4,0x2. x 1.00 = .- . BOILERIREFRIG 1-1O0M BTU x 7200 = . • v© i?E:R1REFFt 10: 4:•6 6.0.13 -1.MMINi - . X 20.00 BOILERIREFRIG 501-1.000M BTU ::;:- -- -- - x 25.00 8 01 L Fial RtC 7f09� 9&;8?g.0_M aiT ,,,_,`�.r? ;u :. x 35.00 = - BOILER/RE FRIG 4-7.750M BTU ' x 60.00 =-- --tY(P. R CO oIjO. .ER 6- Opt.'. x 12-00 HEAT PUMP&AIR CONOFTIONER 3-15 TONS x 20.00 - Eil_ AXP( trSp; AtRCON9ix0 Ef3150• .Sr� : r� x 25.00 = HEAT PUMP&AIR CONDITIONER 30-50 TONS' - x 35.00 = - EAT,' MQ :, •.CONQIbNE'>+50o..SI' ';rtwf - x 60.00 = . • VENTILATING FANS x10.00 = - ApLt3 F gig .E. O.OL>ER S.� i':.WCc:•r ; ,.%0-4k— �h.- • x-10.00 = TYPE I HOOD(PER 12`OR 72'PTN.OF HOOD) x 50.00 = TYPEi11.1.1G0z .5.0:- z-VV ("4-'*;.(C-t .I,-;:- -,44.f-,. x 10-00 =. CLOTHES DRYER. x 70.00 = • •I\IQE ;. , -;tt?•, e - gief -_ 7'r`'":-Mi...47.* x10.00 = GAS LOG • • - - x 10.00 . ,-1`5°^ I iN'Cf. .( Qr 's'©x1 - E.13.i...Q.1 5z{E4; t=«� .x?0.C10 --L.."'" UNLISTED GAS APPLIANCE<400,000 ETU - x SO.00 = - 7LILVJT53n7!\ � F I�, wr�.�)?�;,;;Wf.. x10 .00 C _ USED APPLIANCE<400.000 BTU x 50.00 = . S1=f1TAfl�I'L11�NCQ 4000 ST 1F�?'xs ani.' tkAr �s X100.00. " AIR HANDLER<IO.00O CFM x:12_00 = - 1RI__,___l R y_:._:,.Y,.. 1- _,_ x;,:�.-:r�.,k•lt 15::x.' x 15-00 _ - - - - SUBTOTAL S PLUS: PROCESSING FEE- ' +5 25.00' NOTE: MINIMUM PERMIT FEE IS S35.00 EQUALS:TOTAL PERMIT FEE OUE =S clk b0 SIGNATURE__ -- — ,_ _-_ /