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1991, 08-27 Permit App: 91005326 Mechanical FixturesMECHANICAL P,ERMITA?UPLIPATION FORM 'Information tWorksheet' t itr YL J013 STREET ADDRESS ' (City/State)>:,'[ »(Zip)" '.'`MAI LING•.ADDRESS CHANICAL-tWORKSHEET/FEE,SCHEDU_ :NUMBER,,` 0F'UNITS' DESCRIPTION•'' • DUCTWORX-SYSTEMt.,j_ 'WOODSTOVE/INSERT' GAS f WATER HEATER, rty 4 •-ty4• i ,y,'k F:t ' n 5: 'HEATING EQUIPMENT <100, 9,9,9 BTUi''4,4,, , HEATINGs EQUIPMENT+100';i90�0:`, BTU e ry �A ( • ?GAS• PIPING?�`,;(EAt 0UTLET);rlf`« aa'% ,)( '' i ,,, ���; .r.. REFRIt`1•100M':BTU`t'(NOTI„Wert40RMEAT PUMP):"hp REFRIG'' 101 500M) BTU£ a, .r Jilt-T"i� 'We, qi, +h, REFRIG' '501 1 5000Mr;BTU ?' 4" FT,Ti% a7 r Yr{ d{�rd1 .'REFRIG ,1,x00] ;1, 750M BTUwr 7.` ✓iii 4 fax" ` 'REFRIGy�+1;750MtBTU;5i4r,C. $ t "if, HEAT?+PUMP & tAIRY CONDITIONER --J ,TONS ik..1 rid HEAT PUMP & AIRICONDITIONER z lSITONSH$�t • :HEAT PUMP & AIR }CONDITIONER'c 175 30 TONS,'I 4HEAT PUMP, &.4AIR .CONDITIONER„ 30 50' TONSS.T4, HEAT PUMP &.AIRVCONDITIONERa+50 TONS VENTILATINGRFANSr ` {+,� ` G l• EVAPORATIVE I.000LERS_., �,;, +_ y.. x...,,,•,,...•at,, ,_, - "TYPE I 'HOOD ;(PER 12)! iOR 4,1� " yPTN' y';xoF,H00D .._TYPE2�II• HOOD` . '. r'4'$ ' 5— JI-. z, •CLOTHES`4DRYER -- r.. .RANGE- ',:.:• . ' L — • MISCELLANEOUS• , (N0T!,COVERED'iELSEWHERE)• ° UNLISTED GAS) -APPLIANCE <4.00;000;BTU f=_ UNLISTED..GAS APPLIANCE '>;400, 000k.,`BTU .�_ . USED APPLIANCE <400, 0009''BTU .USED APPLIANCE >,400; 000,03TU_r AIR HANDLER '<10,10001 -CFM ,.`4:. AIR HANDLER. >10 , 000.. CFMta9c1„r” NOTE: MIN MUM PERMIT; FEE IS $35.00 • SIGNATURE';w'—ems-' :,_' SUBTOTAL ., EACH'"_ .UNIT. -AMOUNT'A X$10.00 x25,0011= x 10.:00:= �I x422:00 x415 tO0 , x71". 1 0 0 • tx-r"2 00 0 x125,400".,,,-= t3 �x50,t 0„ x x``l60 00 'X12 00` ,xi20jA0 it 25` 00� x j35''00 x,,}60100" 0 00t. 4 t •k.•5 0. 0 0 x10.00Y.., x10.00 x TO 00,= x'a10':00':1= Ye ,10.00 x:50:00; x100. 00 x.;50.00 = x100. 00';= x.12:00 = x' 15. 00'•-= 'PLUS:;PROCESSING FEE EQUALS: TOTAL PERMIT FEE' DUE Sppokane•;C"ounfy ilepattineat of Buiidingggivand Safe: 'esti 1303,,Broadwav Avenue.. Spokane, WA :99260 (5d9)`456-3675 C t:tiry it :. 4,74,54.1.2.v.;;v'o -%-.-m ' trod i�r A r• • $ 22:60 +' •: 25:0•0'. k -i