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1992, 09-01 Permit App: 92007036 Mechanical Fixtures #6321 �� 8-25-92 • • MECHANICAL PERMITAPP_LICATION FORM • ' Information Worksheet • •- - -. - .. _ `ADDRESS= ---/- : 5915 E. 16th Ave •-- =;= == JOB STREET CRy[STAT Spokane WA 99212 EIZ(P' PARCELNUMBER; %4 ` '...... Leanne Pulham OWNER: PHONENUMBER:' 534-5350 • ' MAILING ADDRESS: 5,915 R. 16 h Ave Spokane WA 99212 (Street) • (City/State) PP) CONTRACTOR: 'Sturm Heating, Inc-. - LICENSE NUMBER: STURMI* 210 OF • - PHONE NUMBER: 325-4505 - E. 204 Indiana Spokane WA. 99207 • MAILIL�IG ADDRESS: (Street) (City/State) _ (Tp) MECHANICAL WORKSHEET/FEE SCHEDULE • - NUMBER X EACH • DESCRIPTION - OF UNITS . UNIT .AMOUNT ELEGTRCOU 0TW ORc K(SEPARATE SEPARATE S�`r�YY,<,Sr'cTE•�M'S') x 10.00 _ _ . n!©o 0S3t •vi..8 -11` ;; ltt � i3� xx25.00 _ _ GAS WATER HEATER . • . • . u .1 x 10.00 = �10.00 . ga U1P-M 4:_ "." as t ;of:-.Q 4mtwit 1 X12.00 = $12.00 - GAS EQUIPMENT+100.000 BTU DUCTWORK)_, x15.00 . .GAS 1P11 . <"Q.41T,�.. -1 :, ---- ew mar 0 ::gni, 1 x 1.00 = y$2.00 BOILERIREFRtG 1-100M BTU x 1200 = - . !c©1t RIREM 13: a 6 �",>rr,�� rx z: r- x 20.00 =- BOILERIREFRIG 501-'1.000M BTU . -. -.: ,_.;,.- ._.. x25.00 ._ ; . t� Rl13k 8oR 00 i -; ptgl.:BT .�,:;_ >£<f z x 35.00 = . BOILERIREFRIG-f-I 750M BTU ' • x 60.00 = = - > , 4 �� it�o 1 x12.00 = - S12.UU �N��p:.Mp,f.-��R CU •D(>I:�O .ER-0,I. •;:0",,S.�r�;;�;.;.�•. _ HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 - Em-P>.MP : Ril.1✓®NO1 0 EF371Sr3O T-.O .S =6f=;Fs3s; x25.00 = - HEAT PUMP&AIR CONDITIONER 30-50 TONS- x 35.00 = . EAX,-yMP :, 7COh? 1T1.0NE'.>+50'0 5.. ;f;,:rz` x60.00 = VENTILATING FANS ��<ccy , x 10.00 = - 8 L fi7I �4C.1 z,. �s-F .<--ix•10.00 = - TYPE L HOOD(PER 12`OR 12' PTN.OF- HOOD) x 50.00 = r,. , ,j .S- �, Reinr 3 ©b© -a ��; - . ai'b$:,'s,f>'"_; x 10.00 = CLOTHES DRYER. _ x 10.00 = _ • ''h ^ y¢ _rF ,q,x y�„x= C`2'�. '- . ix:;,� X 10.00 = ' zw GAS LOG - - . • x 10.00 = . I`�"'►t0.-.c1j. A,.a. 'y©V1 RED:EllSEW.tr•R - x10.00 .. . UNLISTED GAS APPLIANCE<400,000 BTU - • x 50.00 = ,tSIT. ,.,,,.�.•,,r.a ,�0 6 ��WI.; x100.00= . USEDD�APPP]UI NCE<400.000 BTU dry- x50.00 = . SEVAi l iul'u�`i"'� `^-`-'GOO r '�W:',i it,.o<Y''<Y7,1z4. <a0?-,: ,i lOO 00 -' _ .. _ < j.� r...<.'S�'• -'`�HT Fe4 't y xI00.00 C. • AIR HANDLER<10.��000CFM /` _ - x.1200 = ©- R '�71JOI�I✓,i�isi�f, R<'�.1-<: c:..',.w;s.•<..v.�vy:. - •. -. ._ ... 1F11. fAf;1 F? � •- -1. .4.. ,.;<.:"Vii:,�, t1x 15.00-_ • - - _ SUBTOTAL S 36.00 . PLUS: PROCESSING FEE" ' +S 25.00: ' • NOTE: MINIMUM PERMIT FEE 15 535.00 EQUALS:TOTAL PERMIT - FEE DUE- =S 61.00 SIGNATURE__ -- -__ _ 1 .