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1991, 10-15 Permit App 91006873 Furnace, Wtr HtrMECHAMtCAC PERMMAPP.L[CA'nON FORM.. Information Worksheet : JOBSTREETAOORESS- East 11010 Ferret CITY/STATEOP: Spokane WA 99206 PARCEL NUMBER: -AIAOUNT OWNER: Mr and Mrs Lloyd L Smith PHONENUMBER: 928-4137 1 1 MAILING ADDRESS: East 11010 Ferret Spokane WA 99206 (Street) (City/State) (Zip) CONTRACTOR: Sturm Heating, Inc. IICENSENUMBER: STURMI* 210 QF PHONE NUMBER: 325-4505 MAILING ADDRESS: E. 204 Indiana Spokane WA. 99207 (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/IDUCTWORK (SEPARATE SYSTEMS .gym GAS WATER HEATERgggymi'me JOB ;w _ µ GAS EQUIPMENT +100.000 BTU DUCTWORK) Gam." BOILERIREFRIG 1-100M BTU GI 5�19011 Fi :1a ONORMS-7 gOILER/REFRtG 501-1.000M BTU BOILER/REFRIG+1,750M BTU EA�j A.RaN 9T© ONER TO'I��Sg HEAT PUMP & AIR CONDITIONER 3-15 T014S ?lU1P &"44ICON' lt7NE 5.0 ONS HEAT PUMP & AIR CONDITIONER 30-50 TONS c �a 1 i.C( DTIOt�ER+S M-241 ate:, ate„ VENTILATING FANS RSaBL2s £'-z TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) PE 113 ]00 Mi'm 2,§...-iac�.:«:.w .e�`'......., x . v Egg=y� CLOTHES DRYER. ml :RANGE ,. GAGS LOG ;yvlwJ�.*'i»-�`°.`d^">'•. ©wi.ad.�id.,vw@v''iCAI C«.ww.t'la�.W aC..ii UNLISTED GAS APPLIANCE <400,000STU LIN Ag,A7 pc. ;La ?a iUOoiert :Ax"„ % USED APPUANC� BTU �� AIR HANDLER <10,000 CFM '1lR,HANOLE1<), OO CFtYt a m,.< t «x NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE NUMBER OF UNITS X EACH UNIT -AIAOUNT x 10.00 = x 25.00 = x10.00 = x 12.00 = x 15.00 = x 12.00 = . x 20.00 = x 25.00 x 35.00 = x 60.00 = ' x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 10.00 = x•10.00 = x 50.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 x 50.60 = x100.00 = x 50.00 = . X100.00 = x 12.00 = x 15.00 = 1 1 1 .00.- 12.00 - - SUBTOTAL S 24.00. PLUS: PROCESSWG FEE +8 25.00: EQUALS: TOTAL PERMIT FEE DUE = S 49.00