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1992, 04-24 Permit App 92002809 Mechanical Fixtures
. • • MECHANICAL PERtafrAPPLIOATION FORM • .. • • Information Worksheet ' . . •''".3•5 9 eel- .- . JOB STREET' ADDRESS;-: •1 • •E. 10126 Ferrit Drive- .;./4.....:::, ' . .... ...., .. Spokane, WA 99206 ". .'• : . • PARCEL NUMBER; CITY/STATE/Z.1P;. . . . OWNER:.--:-Mrandrmrsaira01Ca PHONE-1010ER E. 10126 Ferrit Drive Spokane, WA 99206 MAILING ADDRESS:. - (Street) CONTRACTOR: •Sturm Heating, Inc.. MAILING ADDRESS: E. 204 Indiana • (City/State) UCENSE NUMBER. STURMI* 210 OF PHONE NUMBER; 325-4505 Spokane WA. 99 207 • (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION •ELECTRICIDUCTWORK (SEPARATE SYSTEMS) 000STOV INSERT 7 GAS WATER HEATER T g NUMBER OF UNITS • X EACH UNIT = AMOUNT 2 ..01„ . MOSSY GAS Egtelv,..1...,ENT.v.,1-11904220p3 DUCTWORK) kqijit F.0„9„t.1 laaga&B.M600014/400Watard4STOL BOILER/REFRIG 1-100M BTU sa-MARUIPt„ WASTOMINE4& •048fREFR1 0' BOILER/REFRIG 501-1.000M BTU 1_R11R te1egg91-541 y<$0M BOILER/REFRIG +1,750M BTU • 8® DIM@ ER HEAT PUMP &AIR CONDITIONER 3-15 TONS HEAT PUMP & AIR CONDITIONER 30-50 TO.NS' c-oNota-4.6Tareitirr°71W4,4 VENTILATING FANS APO Iii4fLgag401• .0sr.RIL&IgA4-...,JEFER TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) CLOTHES DRYER. iteRet.5fS ,...mimmwmvm(gmfFir& mwarataki0,0„t‘4 EAT GAS LOG ' Erl Et.gC•titf2ii- UNLIS i EU GAS APPLIANCE <400,000 BTU " '`.."'"W157eZao vciy- . ""VP:757N t..z.g.1114fr*Whkhe . USED APPLIANCE<400,000 BTU OnEatligrAM.Y44---os./.7,a, 4 4.-4,47,9.-iz-14'..z.vMee7tne.. AIR HANDLER <1000 CFM' . 0 Fm44,404,x0IIAMA62, NOTE: MINIMUM PERMIT FEE IS S35.00 SIGNATURE SUBTOTAL x u.uu = x25.00 = x 10.00 = X12.00 = x 15.00 = x 1.00 = x 12.00 = . x 20.00 = x25.00 x 35.00 = • x 60.00 = x12.O0 = 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 = X10.00 =-A. x 50.00 = x100.00 = x 50.00 =. . X100.00 = x 12_00 = • x 15.00 = 20.00 - 15.00 4 .00 20.00 $ 59.00 PLUS: PROCESSING FEE • EQUALS: TOTAL PERMIT FEE DUE SpoKane County Division of Buildings • $ 25.00 84.00 = s