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1992, 11-03 Permit App: 92009665 Mechanical Fixtures 2'(\ ' q a-9CAoc-D 11Pbb 00,\,\ e-t-,\I „. -$ - - MECITANICA_ L PERMIT FORM2.i'-..-----.....--- - APP_UCATION �� _ -=- Information Worksheet --- = - ,. - 31 5( = .SOB STREET ADDRESS.'..' �7 :. - CI-n(/STATEtZiP. A .1(' /L)Cj C26/7,;:/2, PARCEL NUM•BER: ` _.: _ =•: - OWNER: 7 t PHOCCNE-NUMBER:•-- MAILING ADDRESS: •_ g " V %/Z �) / cz/ (Street) - (City/State) PP) CONTRACTOR: Stuzm Heating, Inc. - - LICENSE NUMBER: STURMI* 21.0 QF PHONE NUMBER 325-4505 - MAILING ADDRESS:_ E. 204 Indiana Spokane WA. 99207 - - - -(Street) (City/State) (Zip) MECHANICAL WORKSHI±iIFEE SCHEDULE - . • NUMBER X EACH ' DESCRIPTION - OF UNITS . UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS)EMS) x 10.00 = - poDSTS �u,� yn x25.00 = OAS WATER HEATER . - . - . - 1111111- x 10.00 = i0,0°- - vaa EQIIPM- • I s '1'6." '." :S 01_,-.0 - WASTA I I I I I 1=1 I I I x 12.00 = _ - GAS EQUIPMENT, 4-.100.000 BTU DUCTWORK)_,_ x 15.00 -G, • PI"N' ' •Q.IJ:T SM�;i ^'f:cam`'; +4-0..: • ..A Z x 1.00 = Z,On BOIL ERIREFRIG 1-100M BTU - x 12 y00 =_ _ mOltRIRTfO. . e 6. Uit ' `? x 20.00 = -- BOILERIREFRIG 501-1,000M BTU - : -.: "- -_-_ x25.00 = ;- L iztti .. tat OM .10,:sOM•{STS :i� _� x 35.00 poi} R - BOILERIREFRIG+1,750M BTU - " x 60.00 = • - - M A------I.O(ig ER 0 TONS „4n;;