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1992, 08-05 Permit App: 92006079 Wood Stoveq-a-cp0-7 MECHANICAL PERMY1 APPLICATION FORM Information Worksheet (f2 Cfl JOB STREET ADDRESS: E 1 ICI Da il)r51-.O CITY/STATE/ZIP: S .106 PARCEL NUMBER: OWNER: (A)) ftv-y-‘ P Leilx PHONE NUMBER: 9L'1 - 0) 23 MAILING ADDRESS: (Street) - (City/State) CONTRACTOR: E reDehi Ei.Jf Fi2 LICENSE NUMBER: 4lC,C)&J73tuk PHONE NUMBER: (5O 2L9/ 1 MAILING ADDRESS: C . c)3) D 30 lepoue, Spok:AAJ e- (City/State) MECHANICAL WORK DESCRIPTION (Street) ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) wooDsTovE!sEm • r;4ER StrAgiktiPlttitg.gt-)EOEEEEFE":" GAS EQUIPMENT +100,000 Ty ouciwgir„: BOILER/REFRIG i -loom BTU • _ • BOILER/RIG 501-1,000 • ...... . ..,„ HEAT PUMP & AIR CONDITIONER3:15 faNS=--,=-, HEAT PUMP & AIR CONDITIONER 30-50 TONS .. •-z1diJtibt4E4-- VENTILATING FANS - TYPE (ABOD OR 12' PTN. OF HOOD)TYPEI• - (TRZEVERMM-;:=M:--;1:::•;M:-:;r:MM-TROM-xi, CLOTHES DRYER GASIOG MISCB4ANEOUBAICiT:00)/..FREllfELSaWfl UNUSTED GAS APPLIANCE <400.000 BTUAPPLIANCEUSED i AIR HANDLER <10,000 CFM x*. Ailli;HANDLER>1 NOTE MINIMUM PERMIT FEE IS $35.00 SIGNATURE L 992o/0 NUMBER OF UNITS X EACH UNIT = AMOUNT x10.00 = / x 25.00 = xio.00 = x 12.00 = x 15.00 = x1.00 = • - -, x12.00 =' • x 20.00 '..= - - . -• - ;,.;- - - x25.00.= x 35.00 '= - „ x60.00 = x 12.00 =:x20.00 x 25.00 =: x 35.00 x 60.00 '= x10.00 = x 10.00 = . x 50.00 = x 10.00 = x 10.00 = x10.00 = x10.00 = x10.00 = ; - , •- .--,.:,. , - - • . r -4- ...,•:%,... , • = - - - x 50.00 = x100.00 = x 50.00 = . x100.00 = x 12.00 = x 15.00 = ' SUBTOTAL $ 025 el) '• PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE 00 Spokane CC.Tr*" ... . Buildings