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1994, 04-13 Permit App: 94003080 Mechanical FixturesLIC(g Z • ©Zee MECHANICAL?ERMIT APPLICATION FORM W!, V U c(f Information Worksheet JOB STREET ADDRESS: ./ •1/4)< tI . I A.6aJ . • CITY/STATE/ZIP: 97/ OWNER: e --P : /P..rOEI PARCEL NUMBER: 91+' N3ogo PHONE NUMBER: 9.) 9 - MAILING ADDRESS: _pp(...Street) (City/State) (Zip) CONTRACTOR: NIn�-0 kl0r t2.l- LICENSE NUMBER: NnP�A PA(-) 7‘ 47 / PHONE NUMBER:,6 3/7 - kI ! 7 5 MAILING ADDRESS: (Street) . (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOODSTOVEJINSEFi7:'; ; GAS WATER HEATER GAS,;EOUIPMEN.T.<tO0;000.BTU GAS EQUIPMENT+100,000 BTU DUCTWORK) GAS. PIPING:(EA .OUTLET] BOILER/REFRIG 1-100M BTU BOILER/pEF'R,IG.:1.01'=5OOM BTU .: BOILER/REFRIG 501-1,000M BTU E3OLER/REFRIG:1,0001'•-1,750M BTU.:.,.., BOILER/REFRIG+1,750M BTU _ HEATP.;UMP &AIR;GONR$TIONEEI 0-$ HEAT PUMP '& AIR CONDITIONER 3-15 TONS NEAT PUMP, & AIR CONDITIONER 15-30:TONS::`. HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT: PUMP,& AIR. CONDITIONER VENTILATING FANS EVAPORATIVE COOLERS`::: TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) CLOTHES DRYER 'RANGE':.,,: GAS LOG MISCELLANEOUS (NOT COVERED ELSEWHERE.,::::.. UNLISTED GAS APPLIANCE <400,000 BTU ;ULINSTEO'GAS APPLIANCE >400,000 BTU: : ` :;.'. USED APPLIANCE <400,000 BTU 'USED APPLIANCE>400 000 BTU AIR HANDLER <10,000 CFM ;AIR HANDLER >.10;000GEM ,.:: ., NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE__ re (Zip) NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x 25.00 = x10.00 = x 12.00 = x 15.00 = x 1.00 = x 12.00 = x 20.00 = x 25.00. = x35.00= x60.00= x12.00= / ii0,-) J /&.O0 ,- , nil .. :.. /.9:0(J.. x20.00 = x25.00 = x 35.00 = x 60.00 = x 10.00 = x10.00 = x 50.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = X 10.00 = „ X 50.00 = x100.00 = x 50.00 = x100.00 = x 12.00 = x 15.00 = SUBTOTAL "` $ 3y o 0 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE' , =$ j ZOO. Spokane County Division of Buildings West 1303 Broad"ny Avenue Spokane, WA 99260 (509) 456-3675