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1993, 02-23 Permit App: 93001033 Wood StoveMECHANICAL PERMIT APPLICATION FORM JOB STREET ADDRESS: CITY/STATE/ZIP;_� �` 1 L 95) -ti.„ PARCEL NUMBER: OWNER: ��`�`' ' ,'e':' PHONE NUMBER: MAILING ADDRESS; Information Worksheet . .0(44 CONTRACTOR: t) - g5- � MAILING ADDRESS: DESCRIPTION (Street) IJc(City/State) (Zip) � LICENSE NUMBER: Afel r , 0 c.S )0D K 7 ., PHO E NUMBER: :-� �'�'-=-73 gig (Strret) (City/State) -• - (Zip) MECHANICAL WOR ELECTRIC/DUCTWORK SEPARATF SYSTEMS WO9gSTP11P1N,„ .zh•..,��•:.rt��:fP:•RC•.i•:<:'<:::fivi: GAS WATER HEATER GAS'<EQUIP E ^ C)E ssx?Arxixiim `v: GAS EQUIPMENT +100,000 BTU DUCTWORK) .............. � R......�::.w:. v:..m.. •:,ti �: �4ti{AK'iviY'w)�:: 1�i:40.i':+K:•:3ri't:%<4i::' '!Hh iYl:vi:'•i BOILER/REFRIG 1,100M RTU R(/��1' yyy}.�V�!///}.1���,(/ ��Y! �/ x.98:8 r ., . an'::,.v.�,?.a�>.}'., ).•.' :'i•,ikt•`-d`'` i :T..�M 1.�.lRT iN���fi �.:d�h�i •.:,:iQ.: . �:: ' .�%:.x� � J:�r. �.^•:+!.:C:! '.�.'�v:�• 1C BOILER/REFRIG 501,1,00QM STU goigmhasterighltair BOILER/REFRIG +1,750M ®TU EAT p.UMt ':Alli>. 3... NSr':...:.;' HEAT PUMP A AIR CONDITIONER 3-15 TONS HEAT:;PUMR HEAT PUMP & AIR CONDITIONER 30r50 TONS .HEAT<PU:. P< tCN.'..!`i`l. VENTILATING FANS .4014, .....:....... . VAf:C7.RTI:::>.�r<:E::y�<<;<:»::;:<::::<:<.>»::>::::k<.»;> TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) Typ CLOTHES DRYER 1h};(•:i'•i }vi'={: r,: yi�ii:ii:i::." ":}i:>':: RANGE GAS LOG MISCELLANEQUS>�NQT UNLISTED GAS APPLIANCE <400,000 BTU ULINSTED.;GAS'AP.PLI USED APPLIANCE <400,00Q BTU USE(►.PF.IAtC:tQQ<'t AIR HANDLER <10,000 CFM AIR HANDLER> NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE Spokane County Qivision of Buildings Westx13Q3.Srgadway Avenue. Spokane, WA 99260 (509j456-3675 NUMBER -.. OF UNITS X EACH UNIT = AMOUNT x10.00= x25.00 as .25-, L. X 10.00 = x 12.00 = x 15.00 = x1.00 *+ x 12.00 = x 20.00 == x 25,00 = x 35.00 = x 60.00 = x 12.00 = x 20.00 = x25.00= x 35.00 = x 60.00 = x 10.00 = X 10.00 = x 50.00 = x10.00 = x 10.00 = 0 X 'MOO 0 = X 10.00 = X 10.00 .= x 50.00 ,_ �,., .. ..,, ,... x100.00 = x 50.00 = x100.00 = x12.00 x15.00= SUBTOTAL $ 2---5---1 PLUS: PROCESSING FEE + $ ' 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ - • L'