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1992, 07-29 Permit App: 92005857 Mechanical Fixtures 5q®2_ - • MECHANICAL PERMIT APPLICATION FORM : " '`` .'. a . Information Worksheet - A iI- 2 �t1S•• T&U -fi • 1 JO EETAODRESS '--4t )co• 5 l' �� "' x::: : . . - CITY/STATE/ZIP ICS L-)1�i ; 7� •• • PARCEL NUMBER: - `: - •• -':: • • • • OWNER: � -,-7---()n _ \ . Al - • PHONE•NUMBER: (f 3 _ : '. MAILING ADDRESS:• • •. (Street) (City/State) (Zip) CONTRACTOR: 'Sturm Heating, Inc'. UCENSENUMBER: STURMI* 210 QF • PHONE NUMBER: 325-4505 • MAILING ADDRESS:. E. 204 Indiana Spokane WA. 99207 • . * '(Street) (City/State) •• . (Tp) MECHANICAL WORKSHEET/FEE SCHEDULE - • NUMBER X EACH DESCRIPTION OF UNITS . _ UNIT =AMOUNT • • ELECTRICIpUCTWORK(SEPARATE SYSTEMS) x 10.00 = - •11 6 O 05vov• .1 it ig wxsfwh�iu . x 25.00 = • GAS WATER HEATER . ' x 10.00 = /0; 2 - • pga .6 IPM. • 4.... .C5bEEma, 01-.0 -av seti: x12.00 = GAS EQUIPMENT+100,000_BTU DUCTWORK) / • x 15.00 /S. O/ •GAS P h1G 'Q IJP A-tan -x : , ;6,„:,,434 4.; :;i x 1.00 = 80tLER/REFR(G 1-100M BTU "x 12.00 = - - • • • ' -- ' • • ,:oos.:RfREMI .-ta;E% 'e e VENN W, P T z x 20.00 =.- SOILER/REFRIG 501-1,000M BTU • . •.: .:::'., •- _ . x 25.00 •- SO tIER1MFr r ya :9.011, 7`5,,x,ar-13 . 2 .�: VMS x 35.00 = • • BOILER/REFRIG+1,750M BTU ' • x 60.00 = - • Viva P,MP.;.-: R Co :•.D(T® .ER-0.2 :os•;4,....Asisr:' x 1200 = HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 = • - .fPt '&i t CON.Ii ® ,Et3 r o S ectal ; x 25.00 = HEAT PUMP&AIR CONDITIONER 30-50 TONS' • x 35.00 = • - •.1';'- M13%.4 ' @N iiiIoNE-1- 0 0 *s'''.444*. x60.00 = • VENTILATING FANS x 10.00 = ' APORAIZ ;£.. SiX.k.. 44:F:ssW.. '',Afe: A: .it x•70.00 = . TYPE I HOOD(PER 12' OR1 2' PTN.OF HOOD) _ x 50.00 = PE I•I HC@b•I�-,�u As ..A.4 � b'F.as'SYSS A ,. i k t: x 10.00 = - CLOTNES DRYER. 10.00 = • '-":t rOE : -i.•` s`�s` V ""°': y mal = 11.E ;,�s.x: x 10.00 • GAS LOG • - x10.00 = ,-(:.: . ; c : 'C ®T'y,OV FO IIS. ri/' R n x10.00 = - UNLISTED GAS APPLIANCE<400,000 BTU ' x 50.00 = .,1,1 mo1GA.AV. �4NCE; 400;0:OO, TIS" n`f x100.00= • . USED APPLIANCE<400,000 BTU x 50.00 = . cee����)A e�-1/-,�•!�4:N11;tV V°°Ka7-VxL.ai.itf4iiU..tt7�vKXZta3 Yf"��y X1 .0C. V�:.�!i/MV`[ �.^nit:+�.i�h�i•`S'(•.i'"�:i �F{�.111':. KH ; AIR HANDLER<I0.000 CFM .... . X 12_00 :. I A © . .R -°i• •,,..::...:,J: .:Iiir s'•'t'1''• r .-<gtt aha;�,<.�=:1 x 1 .i '.5 • SUBTOTAL $ ZS-- - . - PLUS: PROCESSING FEE' ' +S 25.00: ' NOTE: MINIMUM PERMIT FEE IS S35.00 EQUALS: TOTAL PERMIT FEE DUE =S D, SIGNATURE_ -- _- _ /