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1994, 06-06 Permit App: 94005110 Water Heateryvy : .• 4.1.0 JOB STREET ADDRESS: CITY/STATE/ZIP:, ..;„,4 • „' • yi•!....(!.. . ' 'Itly:;:qrtVr. i'l'; ,: 414,y . 11;t. MECHANICAL PERMIT APPLICATION :"..iljJ;. ' .4 2, Information Worktheet ': • t Riz:Lrli...."..: •• IF'7/17/. •.`:"01,46''' •):14,1''' . •'; • : : I . - u..,...., PARCBL NUMBER: :1,4•4•••• . ... ., - •.. OWNER::. • -741444,4LA • MAILING ADDRESS: •'.,, 1;1 (Streot) ' CONTRACTOR: PHONE NUMBER: • ,•; • ...••• ;•'. (City/State) LICENSE NUMBER: TP ' ;;;- • ' • t:t FORM • .' . 4 • N., (Zip) • : k • PHONE NUMBER: 7 MAILING ADDRESS: , frie>17V•ieci-ly. -715 /3_ e (Street) ;, (City/State) c!:. . . (zip) . • t ' " til MECHANICAL WORKSHEET/FEE SCHEOULE • •:,? DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) ' GAS WATER HEATER Ui .011111,4,311 GAS EQUIPMENT +100,000 BTU uUCTVVoRic) CA EOILER/REFRIG 1-100Mi8TIP•••'‘. ; • ••••• 4.1011L.VI Powt‘v,t• BOILER/REFRIG 601-1,000M t4T1.1..‘i• • • .3#10314 • •.!_ 4 , Ng. • BoILEil/FIEEFil0 +1,760M .BT . ,••.••••7•••T•44..- ••'• • • RE-ArraTKrAiittUntrITRZif :;••• ... • ••••,.:•:*;: HEAT PUMP & AIR CONDITIONER 3-15 TONS ..iikki2CPPIARP5Afinglatiritt.U..014.4.,... AM" HEAT PUM' & AIR oei5it.oNe.rt 4646. .A.11114111:(411011PIAtilltb7•64WINNFOR VENTILATING FANS R.011.AIIII.Eqpg.gq0nt TYPE I HOOD (PER 12' OR 12' PtN. OF HOOD) "i5t711ITC5b:011,1,011111.1!:EfiggliRig.•?•101:gilkiVi CLOTHES DRYER RANGE. k alpe*:04:;•:ioiciro:5:ii:i:i:ww:mii., • . . . 44V.:1.. • • • • • . • ' • . A § Ogig .10: .tiggArk 4(1. " • GAS LOG UNLISTED.GAS APPLIANCE 400,0oo BTU ui.iK.:0fg...§!Ap.....tit..)c91041A.§,00::-. USED APPLIANCE <400,000 bTU . . •••••••xx.u,kri,......• ,„,..:..,., • , .r.t. .............. :..„::::•,::::::•:.,....,...„:....,...,,,„:4„..:,',;:?Mg:',Aso: wi4iiimigimi;i'f• .• • .:„...:••„:„4,....:,::::,.<.,•,:::::::::::::.•,:„.•,•:,4:•:•.•:•:.:•:•:::::: AIR HANDLER <10,000 CFM ''•'''' ' AIR ITARditft5iTdadtfRIPANWANMP0A:'":x.q..::" ••......... • •........:. ................................................. . • L .. •':•ii•••••0' •• NOTE: MINIMUM PERMIT FEE IS t35,00 1• , • SIGNATURE : •••• NUMBER • , • OF UNITS ,. X EACH • , ,):. UNIT . ;' . • ... AMOUNT ...: x 10.00 x 25.00 1.00',-. ' ).4 i 2.00.%;. X 20.601.4' x 25.00' 'i111:::. x 35.00 ft.': x 60.00 ri X 12.00. .160 x 26.00ii• • x 25,00,, iky• x 36.06 .. it:' . X 60.001:1/4.• 6.64 x10.0 0 ;k"' r X 10.00 ..iti..?1 x50.0� ii 7,. x 10.00 ri., x 10.00 12 :ii:. X 10.00 rd , X 10.00 i2.1.,,:i X 10.0eii1.11 ik 50.001:4 x100.00 ti.,,.. x50.00 ti X100.00 on .. X 12.00 ... ,.. x 15.00a '‘..‘i' .1 - .4 '' t, ; ;‘: ...7:. • ,...?. ,, • , 0.1 . itt - . ' : :', •_'li tr,•.: ; ' 4: ' I : ' ' !, 1 .. .. • i, .., • !, . - k:- ::4,. a• - , • , , : ; •!..,• . • ..::., , /3A..: .,:*' . .. .. ' ., ... , . i -I .;.•,..,L; • , s•-. 1,..., . 1414' i.01.; ,'„.'„i4•1!‘:' . 1 , ' _ ,..• :. • : .if•,. , s - SUBTOTAL • . $ I 6 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT , ••.,.. FEE DUE , =s Spokane County Division of Buildings . • West 1303 broadway Avenue Spokane, WA 99260 (509) 456-3675 • .?