1989, 08-29 Permit App 89002738 FurnaceMECHANICAL P'ERNHT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS: E. 762-0' Broadway l �+� (
CITY/STATE/ZIP: Spokane, Wa. 99212' PARCEL NUMBER: >
Z
OWNER: Edith Lowe
MAILING ADDRESS:
CONTRACTOR:
Sturm Heating, Inc.
MAILING ADDRESS: E. 204 Indiana
(Street)
PHONE NUMBER: 926-4652
SAME
(Street) (City/State) (Zip)
LICENSE NUMBER:STURMI*210 OF
PHONE NUMBER: 325-4505
Spokane, Wa. 99207
(City/State) (Zip)
MECHANICAL
DESCRIPTION
WORKSHEET/FEE
SCHEDULE
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (1 - 4 OUTLETS)
GAS PIPING (5 OR MORE. EACH:)
REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP)
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
REFRIG 1,001-1,750M BTU
REFRIG +1,750M BTU
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
VENTILATING FANS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE II HOOD
CLOTHES DRYER
0-3 TONS _
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
RANGE
GAS LOG
MISCELLANEOUS (NOT COVERED ELSEWHERE)_ _
UNLISTED GAS APPLIANCE <400,000 BTU_
UNLISTED GAS APPLIANCE >400,000 BTU_
USED APPLIANCE <400,000 BTU
USED APPLIANCE >400,000 BTU
AIR HANDLER <10,000 CFM
AIR HANDLER >10,000 CFM
1
1
x$10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x 4.00 =
x 1.00 =
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 50.00 =
x100.00 =
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
12.00
1.00
NOTE: MINIMUM PERMIT!l FEE IS $35.00
SIGNATURE / ! , r :,
Spokane County Department of Building and Safety
west 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
SUBTOTAL
PLUS: PROCESSING FEE
EQUALS: TOTAL PERMIT
FEE DUE
$ 13.00
+ $ 25.00
= $38.00