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1992, 10-26 Permit App: 92009279 Mechanical Fixtures 6516 . 3.--izi. 10-19-92 - MECI-fANICA L PERMIT APPLICATION FORM - _. - Information Worksheet - - . JOB STREETADDRGSS' - 4 12522 E 15th _ -,%_-___--__-__-. - -. .... . CRYISTATE Spokane Wa 99216-! - PARCELNUMBER: - : - -:- Allen Miller OWNER: PHONENUMBER:• ( 509 ) MAILING ADDRESS: (Street) (City/State) (Tp) CONTRACTOR' Sturm Heating, Inc. LICENSE NUMBER: STURMI* 210 QF - - PHONE NUMBER 325-4505 - - MAILING ADORE =- E. 204 Indiana Spokane WA. 99207 A[LIN ._ - -(Street) (City/State)- - (Tp) MECHANICAL WORKSHEEIIFEE SCHEDULE - NUMBER X EACH DESCRIPTION - OF UNITS . UNIT =AMOUNT ECThtCIDUCTWORK(SEPARATE SYSTEMS) _ x 10.00 = (jajt1s13 ;: 4' . x 25.00 = - HEATER - _ - _ - x 10.00 = - GAS WATER — **^ ElaWIPM - .. g$#6EE S 01-•.Q oe � 1 X1200 = 12 .-00 _ GAS EQU(PMENT+IO04000 8TU DUCTWORK) ,— x 15.00 -GAS=PIPII`NG.• •0t r, .sm;vow?f=- ,;,,,t, vs :, M 3- 1 x 1-00 = 1 .U U BOILERfREFRIG 1-100M BTU . IBsO0RR= RIGa01-'1,e060M 6UTU ' a ° .:_:• f::::1 _ xx2250.0000 =.~ 801L RREFRfG7f;00053MIBrgi_q;Lv > Pi.'if��-i_-; x 35.00 = '- - " - BOILERIREFRIG+1,750M BTU - x 60.00 =- < .MIFt CU.:.2f :2, .ER b=`3... JNS T �, ;<ca x12.00 = HEAT:PUMP&AIR CONOITIONER 3-15 TONS - x 20.00. iaEATPI��P&A1R{.CONDiWE211.53dV:0 .Sr= -:,Va: x-25.00 = HEAT PUMP&AIR CONDITIONER 30-50 TONS- - x 35.00 = - - � ,•t�MP •.CONDI®NE•..+SOS. J .5 �: I - x 60.00 = - -- - VENTILATING FANS _c _ j] • x 10.00 = �VOi O� �yJvw :t1?i irc_dli:!cjjF"fr)�+.`f<�Fi�Yb�' raPfl E31aYd.: ,<,:,: ..... - >,..�..�:.,._.�,, �•�, x 10.00 = TYPE I HOOD(PER 12' OR 12`PIN.OF HOOD) x 50-00 = 7YP011 F3G04iea•W-'i: . . k,2�: x 10.00 = - CLOTHES x 10.00 = - • .0•Q> "W.. . : t 10` .e _.,t:• Ns.IAOA. x10.00 = - GAS LOG • - - x 10.00 = - - . 1.6.'''W.--PP:. t_0i .®/ FDi S.EIV RJL t.: -- •x00 • - UNLISTED GAS APPLIANCE<400,000 BTU ' . - x 50.00 = _ .I..I SaT ASs1A1ZP_ ANCI => t30m0 7E3A. � y'�`>t�r:`- ,..'- x100.00 - _ USED APPLIANCE<400.000 8TU x 50.00 _ - SE INRI 1 1C 441-WIT ' �' <tk '' f. x100.00= _ AIR HANOI R<I0.000 CFM - _x 1200 - 1RitiAg-ER '-'1°---0 01GFM J' '2'` :? , ;=f X 15.00__ . _ ..... - - - - - SUBTOTAL - S 13 .00 - ** Furnace PLUS: PROCESSING FEE" i f S 25.00' NOTE: MINIMUM PERMIT FEE IS 535.00 EQUALS:TOTAL PERMIT - FEE OUE =S 38 .00 SIGNATURE__ I — _ /