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1991, 12-17 Permit App: 91008564 Mechanical Fixtures.7 • •4;c: ;,„ u„ • • - s •,- • . • g • A-00 -1-(' PCD4 CHANICALkPERMIT APPLIPATION FORM JOB STREET ADDRESS: /;::2 'k3 ; •••t.••••tut.. d.wInformation Worksheet 'It Ct. 'AE r ' etrkta‘• c CITY/STATE/ZIP: c - PARCEL NUMBER: 3 • • , 1,5c QcLJ. icfloo_.5 : OWN ER:727/4/...err-/-,. jit;2->liiCck/AS- '2!t(t.it•' PHONE NUMBER: .:2_Q7c54/ •-•• 4, • Fray.41... MAILING ADDRESS c• • - • C:90).: • P., (Street)*:• ( ity/State) 1 (Zip) CONTRACTOR: He at Transfer I nel. ••‘ LICENSE NUMBER: • Heatt i -1881n • 11. • • , . ••..: PHONE NUMBER: • 328-3400 MAILING ADDRESS: 11. 1008 Ruby Spokane, WA 99202 • (Street) .k (City/State) • MECHANICALWORK . E•i• • ; : dc3y ,4 ' DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)wur «. • WOQISSTOVEiliSrSEkt intli•MiNgEgailageRE GAS WATER HEATER ,4•Atai"9, GASTE:QUIP14teftS6,010:#1,604pq,10.11.;„; GAS EQUIPMENT +100,000 BTU DUCTWORK). • !- • GASI.FIPING:(EA!OCiTLETy.!!....!!!!.:•••••••!!!:.,..:d.i!..!;!=n4j&.,;:!!!.i :41,•• BOILER/REFRIG 1 -100M BTU • 0O114F3/0EF.810440Q.C,),..F4J latgliketWattilang BOILER/REFRIG 501.-1,000M BTU eoraRInrGT:c5l-1 750M BOILER/REFR!G +1,750M BTU , HEAT PUMP & AIncoNomoNEn:o_sToNs: HEAT PUMP & AIR CONDITIONER 3-15 TONSK ikTI EAT PUM R:;:sSiNkep.NompN HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT PUMP1k!;:& FVCONDITION VENTILATING FANS TYPE I HOOD (PER 12' OR 12' PTN. OF, HOOD) TYPEIIHOOD :. •• • ,•.,• GAS LOG IA . P.14011(AROPt(93,t1;4901[(0. UNLISTED GAS APPLIANCE <400,006 BTU r1.41.4114stgpip.:4a)Spk(II:Al€1004160:0011titOSTMEM.jig USED <400,000 BTU USEDAPPIliKSIQt1$146010010TOE'SPADou.mimww AIR HANDLER <10,000 CFM • 7, • "i• i':' , ', N- . .,• NOTE: MINIMUM PERMIT FEE IS $35.06 • : fr,.., i* . E - • !: ' Z . ‘.--_ ._.)- '7:7..-:' Spokane County Division of Buildings . West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 • SIGNATURE (Zip) NUMBER OF UNITS •X EACH UNIT 1 , =AMOUNT • x 10 00 = • • x 25.00 = x 10.00 a' ,`,:* . - z• i "2-2,--- m ! 2? ! x,1200 4 ::%,., „,:•-•7‘,..,- :4:: ' .c• X:15.60 =1,, x 1 00 '1!; x12.O0 a* • x.20.00 =.1. (i.25;0o 72;•":i.,1; xlis.bo :'1.1-,s,c),11 • x 60.00 LI x12.00 St; x20.00 x25.00 = x 35.00 = • x 60.00 = x10.00 = X10.00 L' X 50.00.4-- x 10.00 L2.., Z 10.00 "-#1"-I • Z•10.00 4, x10.00 .;..! x 10.00 x50.00 = x100.00 = x 50.00 4 xio0.00 4 x12.00 = x 15.00 = : • • , ef 't• l'. Sr --s--," , il• 4 •-'•.; ,:- V,•*''a i' 4' - .., , :',•“: 4, yr ,...t. • - V ..1. •,-:; . ;i• g, " ' • . . : %. l' ': , ; , .. .. • 1 SUBTOTAL $ a' - PLUS: PROCESSING FEE d + $ 25.00 EQUALS: TOTAL PERMIT ! FEE DUE.' litC4• ! ?Noll 30 1991