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1994, 05-11 Permit App: 94004224 Mechanical Fixtures. Z,3 -mECHANICA't PERMIT APPLICATION FORM npr 7 -Lc( 14-44\_ 1_,L 7J83 Information ylorksheet JOB STREET ADDRESS: / _3 3 / 3 CITY/STATE/ZIP:Sp-t-k-et4,v I 14) 77,J/. PARCEL NUMBER: OWNER: fY),L11,clic, Id 04 PHONE NUMBER:2_b -5137 izq MAILING ADDRESS: (Street) CONTRACTOR: / MAILING ADDRESS: s /0 (Street) DESCRIPTION (City/State) (Zip) LICENSE NUMBER: A) 0 )CO)7',q (7 7 4 4 / PHONE NUMBER: 5 /4 9ri (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE ELECTRIC/DUCTWORK (SEPARATE SYSTE • .• •• • • GAS WATER HEATER :GiAt.Q.01016attebigti*.#114#:'71...1 GAS EQUIPMENT +100,000 BTU DUCTWOR GAS P1P1N4 (EA OUTLEJ) tioiLER/R.EFFIIG 1-100M BTU BOILER/REFRIG 501-1 ,000M BTU BOJLERIREFRIG BOILER/REFRG +1,750M BTU H EAT PUMP ••& AIR:CONDITION ER 0-3 TONS , • .• HEAT PUMP iA' AIR CONDITION TONS HEAT PUMP &" HEAT5AiToPoUmMoPt,,,AiloRtCtIONNDITIONER 30-50 TONS TONS VENTILATING FANSEVAPORATIVE COOLERS Pl:119140t§ci ....... TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) TYPE 11 H000.CLOTHES DRYER GAS LOG UNLISTED GAS APPLIANCE <400,000 BTU O BTU USED APPLIANCE <400,000 BTU AIR HANDLER <10,000 CFM AIR HANDLER >10000 CFM NOTE: MINIMUM PERMIT FEE IS $35.00 NUMBER OF UNITS X EACH UNIT = AMOUNT x10.00 = x 25.00 = 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 = 1 J , oo 11111111111.11 IIIIIIIIIIIII x 25.00 = x 35.00 = 1.111 x 60.00 = x10.00 = x10.00 = x 50.00 = x10.00 = x10.00 = x10.00 = x10.00 = x 1,0.00 = x 561o0 = x100.00 = x50.00 = x100.00 = x 12.00 = x 15.00 = SUBTOTAL . 0 PLUS: PROCESSING FEE 25.00 EQUALS: TOTAL PERMIT FEE DUE 1/ SIGNATURE 3pokane County Division of Buildings West 1303 L Avenue Spokane, WA 99260 (509) 456-3675