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1992, 06-01 Permit App: 92003870 Heat Pump , a- 3 8'-10 - MECHANICAL PERMIT'APPLUCATION FORM ••.:. . • •;' • ' -, . •: Information Worksheet • .. 9,-2.s. // • JOB STREET ADDRESS: •I' 15015 E. 12th ••. •;•';',:.•:;:;;•. '::••...•,... . . rJ ��l: CITY/STATEJZIP:, Verarla 1 P w 99037 • PARCEL NUMBER: • • • • OWNER: Woods-Patrick PHONE NUMBER; MAILING ADDRESS: • 15015 E. 12th Veradale WA 99037 (Street) • (City/State) CONTRACTOR: 'Sturm Heating, Inc. CSP) LICENSE NUMBER: S'TURMI* 210 OF PHONE NUMBER: 325-4505 MAIUNG ADDRESS: E E. 204 Indiana Spokane WA. 99207 • '(Street) (City/State) • PP) MECHANICAL WORKSHEET/FEESCHEDULE • NUMBER X EACH ' DESCRIPTION OF UNITS - UNIT = ICIDUCTWORK(SEPARATE SYSTEMSAMOUNT • ELECTR VO ,;��, ;,.,. ) x 10.00 = . /:..:�yi,Yc�xarx .5,s<sA3i�e �a?3`.�+sur<.r�+rb'f,>� x 2.7.w = GAS WATER HEATER • . .. x 10.00 = .6 IPM . '.e.sts,be . 'vi I7• ` 'y. t . >v` x 12.00 = GAS EQUIPMENT+100,000 BTU DUCTWORK•�) • • x 15.00 =, •1GQ > �sef•G • ASI, U,, ,'A ' ,::<,, D? f�,ts,C�i,l u3>.:�r,��: X 1.00 = BOILER/REFRIG 1-100M BTU • x 72.00 = • • • • • • - • !�E •o _ .,.,<. 1t•` ,S�s':::, ,ds j s>.;, Com' w; • R Y„R.:x�3fG +.f•}.rv�✓Ok4S 1}Y,rf-�:�A.4. x 20.00 = . BOILER/REFRIG 501-1.000M BTU • •. • .; .::: ' , . x 25.00 •. • .�. :p ' aL o R .e '000 .E11 :'s •di&, x 35.00 = - •-• - • BOILER/REFRIG 4.1.750M BTU ' x 60.00 = '• EA,j:!'m...:::=00;_O;•,•® ER-AL :co a `., 1 x 12.00 = $12.015 HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 = • w IT.'0•M•::<. '. ®ND1'.X10E' 15�L30..,O$` v u<r.�a,,a x 25.00 = ' • HEAT PUMP&AIR CONDITIONER 30-50 TONS' • x 35.00 = , ,7. .,MI :a',.(3, p.4710 E• + 0 "': :: kms,-' • • . •• • VENTILATING FANS x 60.00 = •g•(3 T ,E •,®®(�•� S���` �>� /;may x 10.00 = • A , .1 A:.�1••... .. 19 k � t arAl ,••i :a x-10.00 = • TYPE I HOOD(PER 12' OR 12' PTN. OF HOOD) x 50.00 = ��yyy���(� r'�Q per' Y p 1,HOD�7 " ` fAtR° �c�3's�3 f'..f' i`�'� �,s�A'n Aii• .f r,i3 i -_-,- >.; s�,£#4`�,:a <� X 10.00 CLOTHES DRYER. . .�(, • .s : ••f;,>f rir .--,r.w.N.0,,,,,,, X 7 0.00 = ;'' '.i,^tio,•.c i :a^,?$;•X •# s� mow,` '�T` y s., �,u,A. .ta �•' <'%,`; s • .*, x 10.00 = . GAS LOG - • u x10.00 = • . f."1•c''^teAtl•••oU. ataer,.ov..13ED.gti8W'. f.{E x70.00 =:: UNLISTED GAS APPLIANCE<400,000 BTU • x 50.40 = . • i. x100.00= • . USED APPLIANCE<400,000 8Th 0 Stt*040V• . , ir.'Rti�'%�j.Q• ataxaa,a`) rS Hb• AIR HANDLER<10,000 CFM • x1 2.00=..• . x12.00 = p1 rar000CFM't• `ti:. r..;,.�.-, >.-.....-r,� .-..•--�,.,. .. �!1KI�t�L"G(1 l Z?'�tn�oi< �� r. sii� y' - . .. -..�a�.a.w::•..�.a wwea„........,,...,04.=.441,42.4-6,:‘,..0§!4?;,.� x _ .... = SUBTOTAL • S $12.(}0 PLUS: PROCESSING FEE' ' +S 25.00' ; NOTE: MINIMUM PERMIT FEE IS S35.00 EQUALS:TOTAL PERMIT FEE DUE =$ $37.00 • SIGNATURE /J i ( ' 1,,,2. 1 Spot<ane County Division of Buildings