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1992, 01-09 Permit App 92000152 Furnace
MECHANICAL PERMIT APPLICATION FORM information Worksheet JOB STREET ADDRESS: 10616 East Valleyway - CiTY/STATE!ZIP' Sookane, WA 99206 OWNER: Mr and Mrs .Tim Hill MAILING ADDRESS: PARCEL NUMBER: ' PHONE NUMBER: 922-4732 10616 East Valley Way Spokane, WA 99206 (Street) CONTRACTOR: -Sturm Heating, Inc. MAILING ADDRESS: DESCRiPT1ON E. 204 Indiana (Street) • (City/State) LICENSE NUMBER: PHONE NUMBER: Spokane (City/State) (4) STURMI* 210 QF 325-4505 MECHANICAL WORKSHEET/FEE SCHEDULE ELECTRiC/DUCTWORK (SEPARATE SYSTEMS) ,:yr••wn ,:��:a++.+,+.,ua�ay.:n�•,.ltn C4^^^�:�y�•�-� m�.;.Y�:��Sx:,.m,:xafa �.%".A'�"0@°�fh2:.,•+i4ui.nv. v:'{`•;L'':°:ryf, ;WQ iI.S � Y. ffale ri;i. � i i`.347?.f �¢:av} ::G:.:: $.s..c:!6• Jr -:+*:::>: }'i..•}i: wf�i r.:...:> .... .�rao:ca};wcw o{xaw}:2.++„�,;.:av'.ickG:;aki GAS WATER HEATER. .{ . Qi311?,;,,;;,_rt�c�`taA�:c...iU.Vi%�4'�•�2s.'L • d �7• �' �§ GAS EQUIPMENT+10(1,000 . BTU DUCTWORK) GAS.-I •'1 .. \i'MY .\�U.T'L'-G••+�}`44.<i{'++i>'}�ivi'.''r:2'+�YO:fi�}:Cti::[}:�i::'{ti:j i.{Kh ti;'{:: •}.}.:.4 -•P„�.:.,�,2.P�N ��..,�;wa;�.,.;;+.r,,. ��,,..��i�{�;�:i�;:�::.�.:,,��;�+it�. �: BOILER/REFRIG 1-100M BTU ]aW�+, }` C l :2 �. Q i\ x'}..S2YM •}`.+. {j!r . ,Aaa,�a„ i"'f' ,�:J•%.d06Nti}'0,\•4.w#yY�iG BOILER/REFRIG 501-1,000M BTU . '. • _ _ S,•'f .; :JY� 4�,M•,�,rw{avi+:lryf'!P ;2iy . 2' .jni'{n v}iii$y.•!�ry4,+'^;;•C+.H, EOiLERIREF:RK: ;�900Q;;'i 7:zOM BTI: ; : nar,:: <::;;:;.v<< <: }. �v.'�.w....a}::.w.w..:.,.:s...„,.i,..-:.u::.a•:.x%...sa:$i:'::;,::2}: Sa:.-}}.•Ara BOILER/REFRiG +1,750M BTU • - 2w�•+o-w•.,y:�•^.� "'T..y . }w,.2y, :c+:.:•.,:•�+o}yr�•ri7'••.^ raVr,..:,,y:..•«.,.{.,..::}+, HF471?U.MR:CiND(TOt�ER 0 3TOS:{:r:$w<AA';; HEAT PUMP & AiR CONDITIONER 3-15 TONS :.:-:...+..;:..:.-.:.}.: is «.}:;Y.r.::RY:; ::.±:_ `:..:nO..; .}..�,,... ..: i->::+ ,::.:..: •.i}:.......::.,....;:.};:.};::;'.,.:::.;:.}.:.: }]SEATPt�4Py,,$�,Al?C.N. jTfOIER 15,30 TONS{ { `+uu HEAT PUMP & AiR CONDITIONER 30-50 TONS• rvhW�+h^C�•� VENTILATING FANS s•. ♦: hh.�}�+r`++++;�,,.c••�r/�+:r':?r'a7""'•.;�•:•�.n•: �x.?,E`':';:i.�: tr:..Y!• r::t:.' ��,%'}X.vc.;y,,y"!2;yr.</>-?:TZ? N:% iN r�J.1�f1�.�i�`1 ®®.I�rl S.:::: ' �"•,}, ;tc:?:: ,:<di;:�% } tS�:?'}:c::%:�: ?\•wairi�:•J:{•n•:•T]a�W.tti �VnWC�wvti»iv \Mr�•.v.•.4x.:Sv':isv.;.i., .i•?.v::Gi:+vi.:.s,:4:4:iC•is4>:}i?v::-i:.}:v%;r}}:}i}^$\i•.l'•ii TYPE 1 H000 (PER 12' OR 12' PTN. OF HOOD) ,„.y..r:.:.}•: ^r '"C .+�.+ %9+eWkA'}}:i:v:•.L }: i:: •r'm}:; ��/ i r } / Gc}:4:•r.'}r:•c�'•:?{#vtioi'}ri';3��._:•:S}i,r.::,}::y--::'2}2yi. i'/. ai'){::i?6 �].1•,{+fi{r.�i4.''''•.ir#-•xi.:}�i}ixii:O:�f:<iiii...�v.4:,'+is4i{•'t:�:{LL.1h}LL:,y:'ifrvn�: an>r'v1i:M\v.{�+V�VinY:W�wi�lwa:nikh\ii� env: },E. . CLOTHES DRYER. \`^'"•� '• y� •'yY2+::i } rr,,. mf Yam; y,:.",,. �:,.„m};..:N}•i:.•..:;:. r•::;-.y.i....,�w.:�°::�%�}�rw�:;.i .sawn'y•rie;}S4}>.ist•Y,.o2:i•.'•ry,;;•;,y#�;.'c:'•}iyy:< :: '.;+•;r °;p:•':2.r:: aS. 2..: .+:•+v.,..-„/�i`:,C ••'•:�- {i} .Y :k',,it.:..:6}':•j<•y: ir` ......,.a'del.+usJ'o}',{\�;7a%a�:i::•..,..a:6:}ts..•.:}:�s::a:;3 ,.2�:rrc:ieri£�2:;fiS: GAS LOG UNLISTED • GAS A PPLIANCE <400,000 400,000 BTU W>S51nrM7%.74titr �IvyTy. USED APPLIANCE <400,000 BTU SEI} Vi " tI+YM YrriM NH<, .{f e.2. .i WA/f. uN AIR HANDLER <10,000 CFM •- NOTE MINIMUM PERMIT FEE IS $35.00 SIGNATURE GL� WA. 99207 Pp) NUMBER OF UNITS . X EACH UNiT = AMOUNT x 10.00 = x25.00 = x10.00= x 12.00 = x 15.00 x 1.00 = x 12.00 = x 20.00 = . x25.00 = • x 35.00 = x 60.00 = • x12.00= x 20.00 = x25.00 = = x60.00 = x 10.00 = x 10.00 = x 50.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x10.00 = x 50.00 = x100.00 = x50.00 = . x100.00='.• x 12.00 x15.00 = . 1 12.00 1 1.00 •" ' . .�:.. •_ _ ..;._ • .'~it : ::4! 4t... . -- • v. ' • - .• • •x35.00 • • . • ' - -.... - - • . • SUBTOTAL $ 13.00 PLUS: PROCESSING FEE' ' + $ 25.00 ' EQUALS: TOTAL PERMIT FEE DUE = S 38.00 Spokane/County Division of Buildings •