2005, 06-24 Permit App: 05002121 AC Jun 09 05 08: 13a Sturm Heating 5093252615 p• 1
MECHANICAL PERMIT APPLICATION Community Development Department
Spokane Building Division
do0`Ll Phone: (509) 688-0036; FAX: (509) 688-4037 11707 E. Sprague Avenue, Suite 106
lii ey For Inspections, Catl (509) 688-0054 Spokane Valle ,WA 99206
Project Address: 1 )1 C) 949.4,
L \�� \. Permit Use: RIC-
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Owner: nRmacj 'L,1\NA1Qr Phone(Daytime Contact): 0 , *-
Mailing Address: �iaCnE, -zypp} (�^..
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city Slate Zip Code
Contractor. STURM HEATING INC License#: STURMI*2IOQF _ Phone#: _ 509-325-4505
Mailing Address: !1 112 N NELSON ST SPOKANE WA 99202
City State Zip Coos
DESCRIPTION OF WORK 0 OF UNITS X COST = TOTAL AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $12.00 =
2 FUEL BURNING APPLIANCE More than 100,000 X $15.00 =
3 UNLISTED APPUANCE(Additional Fee) Equal to or less than 400,000 X , $50.00 =
4 UNLISTED APPLIANCE(Additional Fee) More than 400,000 X 5100.00 =
_ i
5 USED APPLIANCE(WSEC min.AFUE rating) Equal to or less than 400,000 X 550.00 =
6 USED APPLIANCE(WSEC min.AFUE rating) More than 400.000 X 5100.00 =
7 BOILER/REFRIGERATION 1-100M BTU X $12.00 =
8 BOILER/P.EFRIGE.RATION 101-50DM BTU 520.00 =
9 BOILER/REFRIGERATION 501-1,000M BTU X $25,00 =
10 BOILER/REFRIGERATION 1.001-1,750M BTU X 535.00 =
11 BOILER/REFRIGERATION More than 1.750M BTU X 560.00 =
12 GAS LOG,GAS INSERT.GAS FIREPLACE X $10,00 =
13 RANGE X $10.00 =
14 DRYER X $10.00 =
15 FUEL BURNING WATER HEATER X $10.00 =
16 MISC.FUEL BURNING APPLIANCE X $10.00 =
17 GAS PIPING teach outlet) . X $1,00 =
18 DUCT SYSTEMS X 510.00 =
19 VENTILATING FANS X 510.00 =
20 AIR HANDLER(DOES NOT include ducting) Eoual to or less than 10,000 CFM X $12,00 =
21 , AIR HANDLER(DOES NOT include ducting) Grealecthan 10.000 CFM X $15.00 =
22 EVAPORATIVE COOLERS X 510.00 =
23 TYPE I HOOD X $50.00 =
24 TYPE II HOOD X $10.00 =
25, HEAT PUMP R CONCITIONEZ) 0-3 TON X $12.00 . = 1 Q C3
26 AIR CONDITIONER 3-15 TON • , X 520.00 =
27 AIR CONDITIONER 15.30 TON X 525.00 =
28 AIR CONDITIONER 30-50 TON X $35.00 =
29 AIR CONDITIONER More than 50 TON X $60.00 -
30 LPG STORAGE TANK X $10.00 =
' 31 WOOD OR PELLET STOVE/INSERT X 510.00 =
32 WOOD STOVE-FREE STANDING X $25.00 -
i -
33 REPAIR&ADDITIONS X 515.00 =
34 VENTILATION SYSTEMS X 512.00 =
35 VENTILATION MECHANICAL EXHAUST X $12.00 -
36 INCINERATOR-RESIDENCE X $19.00
37 INCINERATOR-COMMERCIAL X $22.00 n
METHOD OF PAYMENT: OW f SUBTOTAL /
O CASH D CHECK D VISA DMC ec "' `` O� PROCESSING FEE 535.00
CARD x ® TOTAL PERMIT FEE DUE: y 1 CO
AUTHORIZED Siul.(ATURE: -1... V.I.A X`s j
( This document originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuant to SOS DAN G52014-030.
TUN R9 21795 09:14 5093252615 f AGE•01