1992, 08-20 Permit App: 92006692 Water Heater, PipingMECHANICAL PEAMIt APPLICATIoN FORM
Ififordiatieti Worksheet
JOB STREET ADDRESS: :4ririti
CITY/STAT5JZIP: '7 o37 ,PAPICEL NUMBER:
OWNER: Ili e 4 xa
" PHONE NUMOER: 2-.4r-4 7
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR:BLICENSE NUMBER: 14A1411/41g111/84t
CONTACT: RUSS LUNt1 PHONE NUMBER:
MAILING ADDRESS: P.O. Bolt 4346 Sptikati@ 14/A: '0'0202
(Street) - (dItyiStatO) (Ip)
MECHANICAL WORKSHEET/PEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WoobsTOVJIPIf
GAS WATER HEATER
GAS EQUIPMNT <otd�o frtIitW&Ub
GAS EQUIPMENT 4-100,000 BTU DuctvVorlig
GAS PIPING (EA OUtLT)
BOILER/REFRIG 1-100M BTU
....
BOILEFt/REFRIG 501-1,6Ocim irtu
oiLEAM ..............................ftJ
.
BOILER/REFFIIG ,150M BTU
HEAT
HEAT PUMP & AIR boNbItioNEI1 IA TONS
HEAT FUMit&A#00001t..toN.O.T101r04:'iiii:ziog:ii-,;:,
HEAT PUMP & AIR CONDITIONER 0 -f -S0 TONS
HEAT PU
VENTILATING FANS
EVAPORATIVOOL.......... .................... ........
TYPE I HOOD (PER 12' OR 12' PTN. or H000)
TYPEIIHOOD
CLOTHES DRYEFI
RANGE . .
GAS LOG
MISCELLANtOtit .(NfittOyttltlYtiltt9Mittteir:
UNLISTED GAS APPLIANCE <400.000 BTU
ULINSTED • .
USED APPLIANCE <40&000 BTU
USED APP.LIANOt:$4600!'UttJ
.
AIR HANDLER <10,000 CFM
AIR HANbLEIT5160tio.Pkilrg.-'1:1''',:j
NOTE: MINIMUM PEWIT PE 18 S.06
SIGNATURE
NUMBER
bg UNIT§
X EACH
UNIT „,
, -% AMOUNT
•,
110.88
1 t§ 00-2:
k 10.80 Is
112.ild a
* 1.6'd a ,
I i.tio g.
20.00 Ai
* g.e.iii lit
I 16.00 a
it 12.O6
•
x 28.60 a•
k 36.01 t.
I 611.6(1 at .
*16.6d 1..1
x 18.130 ti
*86.06 11
k 1 0 • 66 4
k 18.66 ,----.
it io.66 t.
I 16.00 ,A
it 60.00 -..*
k100.60
,t tb.01) 4.-
ki00.00
k ig.66
- - •
/
•, /.0•.-c, c.
'
'4::ii<Vt41
/
1
.
,
SUBTOTAL :,.. ..,'..
, $ li 0c!
PLUPIOC888ING PtE:,
) 2s.00
EQUALS: TOTAL PERMIT
PEE !Jilt
•34,- • °
•SOokane Courtly- blviAloti of tluildings
West 13o3 8roadway Avenue Sooltatio, WA 96�(0) 4664678