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1993, 07-06 Permit App: 93005463 Mechanical Fixtures1 MECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS:__ A/ 1 2- 4FAi 72•( _ CITY/STATEJZIP: ____ PARCEL NUMBER_ OWNER:_5175 KC 7'/'//' S5 PHONE NUMBER:_ MAILING ADDRESS (City/State) CONTRACT(/ 4( e741.-/- r4;.;E. NUMHE ,4/R P1,4- 12f k0 925077? MAILING ADDRES Z7/?a,i/ 'v W,4 r72a7 N4..0 ,NICA_ WORK-::tiEFT/FEE SCHEDULL _ NUMBER — XEACII DESCRIPTIUN OF UNITS UNIT ELCC7:C/DUCIWORK (SE FAR A : t: S't.;TEW,,)x 10.00 ..- - • ' ' ' '''.4 WOODSTOyk/INSER1 x 25.00 --- GAS WATER HEATER / _ x 10.00 - GAS EOU1PM'ENT <100,0C-rs,." t:- , .t. -. / x 12 00 GAS EQUIPMENT +100,000 RTU ''' x 15,00 = GAS PIPING (EA OU TEL:) . _..f. x 1 00 - BOILER/RCFRIG 1 -100M BTU x12 00 -.A BOIL ER/HEF.RIG 101-500M 81-1/ 2( 00 BOIL EIVREFRIG 501-1,000M BT"...I x 25 00 -,- ). 3 - BOE. - iEFRIG 1,0001-1 -1111M 5 . 0 0 • 4 i BOILEWREFHIG +1,7:1;C .. ...., . • x 60 00 , x HEAT POMP & '-,I1q CONDiT 12 00 '11 ot ' HFA t FUMP X : . ) -I_ 4, ',)'. - HEAT PUMP 8 AIR 1/LiND9:0Nr- ,- ,,(.,. x 7,00 - HEAT PUMP ti AIR CON ',. , ' " ". ,'•;":3 x 3!-: 00 HEAT PUMP AIR CON -Vi x60.00 .?- VENTliATING !ANS x 10.00 EVAPORATIVE' C001 r Rs x 1000 ,... r:PE I HOOD (PER 1/ OR 1:. f:'-: . . • x5000 OOD y 10 00 1-.71-'- II H C. OTHE:.. DriYEri x, i100 0000 FI . RNGE- GAF) LOG ) 0 00 - M!SCFLLANEOUS x 10 00 . U. IS1 ED GAS APPLIANCE .-40) i'L :-- ',.; ., 50 00 1 --, UL,NST ED GAS APPLIANCE >4C, ,i s, >00.00 U:;:'D APPLIANCE: <400,000 BTU 00 = USED APPLIANCE >400,000 Eat! ,'00 O'T' AIR HANDLER <10,000 CFM 12 00 : AIR HANDL ER >10,000 CFM ' 00 -- NOTE: MINIMUM PERMi SIGNATORt AMOUNT 1 I 'N) 25.00 ,r_QUA!..S "TAP' FET ! 1°1<j opokane County Division of Buildings VVost 1303 Broadway Avonnn RrInknnn Wt oa•mn icnnl A co 0071