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1993, 04-08 Permit App: 93002240 Water Heater, Piping
93-) VC, MECHANICAL PERMIT APPLICATION FORM #/06' /4)- .. Information `fa- Information Worksheet A , ,?.• JOB STREET ADDRESS: `1A\(�, L ! `f1�, `� CITY/STATE/ZIP: Ak ` �YL[' t V{. A 99ZJZ PARCEL NUMBER: OWNER: �e_-e. ►U I.0 6P I PHONE NUMBER: q - as - 33&S MAILING ADDRESS: ,1.111e - (Street) (City/State)! _ (ZIP) CONTRACTOR: LICENSE NUMBER: KT �� 1 �--� 1--3/4 PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) MECHANICAL WORK DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) 1�y{ Qty • \vls� <5•403�>•W�.�.••... ..: �. GAS WATER HEATER GAS EQUIPMENT +100,000 BTU DUCTWORK) B_O�1ILERIRE�FRI.G 1-100M BTU BOILER/REFRIG 501-1,000M BTU i57,�y�'J ga-A 1:...2'.11y'11.7,57ett*,:..:':,W,WWi.C..✓}S:a:;v::.::.c;,; BOILER/REFRIG +1,750M BTU .2a•,/4M},c yi7t.,`la,l.K'i:o�:•,cf :`a::�.:::,;...vaw: HEAT PUMP _& AIR CONDITIONER__3-15 TONS ..�.:.a�:•.?Fc..�.r7o:,,.v.�.,,.,.�8..,�, :.::N::•.aar,w.,�.:,,r�;.w.ww6. HEAT PUMP & AIR CONDITIONER 30-50 TONS CJOw,viin•,: }: MAS: \' a,v. KE. VENTILATING FANS TYPE I HOOD (PER 12'-© MOM CLO ES DRYER' GAS LOG yr N UNLISTED GAS APPLIANCE <400,000 BTU USED APPLIANCE <400,000 811.1 i,M.}901:•rays:..:�.:y:�ryy♦r...�r:r�<.M.. n. .�vra0thrvt:: �.. AIR HANDLER <10,000 CFM t � � fi1i.i'i#w w"w':y"..w'�i�.,,�'yir`.x'::y:::w's,%�<;• i;:. ,r',nv,:vn NOTE MINIMUM PERMIT FEE IS $35.00 SIGNATURE /1176 NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x25.00 = 1 x 10.00 = i 0 . -(-, x 12.00 = x 15.00 = • i x 1.00 = i. OG x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x12.00 = x 20.00 = x 25.00 = x 35.00 = x60.00 = x 10.00 = x 10.00 = x 50.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = 1 I x10.00 = x 50.00 = x100.00 = x 50.00 = x100.00 = x 12.00 = +o'c: x15.00 = SUBTOTAL $ J% %' PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE _ $p, 00 Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675