1991, 11-12 Permit App 91007758 Heating Equip61 - ode5
sel<s_rA 4513, pA“ Poi° MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS: 7924 East- Indiana
CITY/STATE/ZIP: Spokane, WA 99212
OWNER: Mrs Jonnie Hanson
PARCEL NUMBER:
PHONE NUMBER: 978-8905
MAILING ADDRESS: 7924 East Indiana Spokane, WA 99212
CONTRACTOR:
(Street)
Sturm Heating, Inc.
MAILING ADDRESS: E •
DESCRIPTION
204 Indiana
(Street)
• (City/State)
LICENSE NUMBER: STURMI* 210
(Zip)
QF
PHONE NUMBER:
Spokane WA. 99207
(City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
GAS WATER HEATER
pAsjoaffeMgNiaPPAPPiATM(IISIOMESESIME
GAS EQUIPMENT +100,000 BTU DUCTWORK)
BOILERJREFRIG 1 -100M BTU
BOILER/REFRIG 501-1,000M BTU
SOILEFUREFIRIG445001uf,750M:STUnAfEnn,',MMM
BOILER/REFRIG +1,750M BTU
PEAti!Nq#11!kwiopKp1Ti§0:wiO4tbf4sonpd;pim
HEAT PUMP & AIR CONDITIONER 3:15 TONS
:HEAT puMp&AIacoNDmoNEp1s-ao TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEATPUMP:&AR CONDITIONER +50 TONS
VENTILATING FANS
E)1APORATIVgiCOOLERSEEMIlingaii;iNgeffinginM
TYPE 1 HOOD (PER 12' OR 12' PTN. OF I-100D)
CLOTHES DRYER.
F16110Agii:linENTEMEMINEMNIMINIMEIME
GAS LOG
OtraN7Wtiltna.157:VEWEISTE:C§Wfit#I>.ffIlk,,,,,.f
UNLISTED GAS APPLIANCE <400,000 BTU
11.00NSTEIntaltAWOOKONMEMBERNE:
USED APPLIANCE <400,000 BTU
rOIEDWralaCrarct <ellataant
AIR HANDLER <10,000 CFM
3:AliWatct
NOV 8 1991
NOTE MINIMUM PERNILIt%VgifthiitiTY
SIGNATURE
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x 1.00 =
x 12.0n =
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 50.00 =
x100.00 =
x 50.00
x100.00 =
x 12.00 =
x 15.00 =
-
12.00
1
1 00
-
SUBTOTAL
$ 13.00
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $ 38.00
Spokane County Division of Buildings