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1991, 12-24 Permit App: 92011170 Water Heater, Pipingre ore__ W113 '13 I .t.,/_O MECHANICAL PERMIT A I=1? ON FORM Information Worksheet JOB STREET ADORES -SI-- LAL4 Cl) _ crras•TATErz_ip...-. tk)e\ PARCEL NUmeen--,-- '211 (7• OWNER:- \L\ - PHONENUMBER: -- MAILING ADDRESS: (City/State) UCENSE NUMBER: STURPII*- 210 QF PHONE NUMBER: 325-4505 E. 204 Indiana Spokane WA. 99207 1.,,cAtuNG ADDRESS: (Street) (City/State) (Street) CONTRACTOR: 'Stu rill Beating, Inc. MECHANICAL WORKSH I /FEE SCHEDULE DESCRIPTION ELE_GTRIG/DUCTWORK (SEPARATE SYS I EMS) e DSTSr NSEW-cle •rq.jir- 3,s1i6su GAS WATER HEATER GAS E-QU(PMENT+100.000 BTU DUCTWORK) BOILERIREFRIG 1-100M BTU t•3 (9 11,FZRA3 BOILERIREFRIG 501-1 .000M BTU - - - I_ - 901LIEFora BOILER/REFRIG ,7501v1 BTU HEAT PUMP &AIR CONOMONER 3-15 TONS HEAT PUMP & AIR CONDMONER 30-50 TONS- CONDOONE -IEAT, -0 MR 85. - VENTILATING FANS 50 0 TYPE ( HOOD (PER 12 OR 12 PTN. OF HOOD) • i5144'j CLOTHES DRYER. GAS LOG - v UNLISTED GAS APPLIANCE <4°0,000 BTU - USED APPUANGEK400,000 8TU AIR HANDLER <10,000 CFM - - 0 ;N;!.i.t.Pi. PEP FLEIS :;3S.C-0 NUMBER OF UNITS X EACH UNIT =AMOUNT x10.00 = x25.00 r= x 10.00 = x 12.00 = x15.00 = x 1.00 = x1200 = x20.00 = ¥25.00 = x3500 x 60.00 -=_ x1200 = x20.00 = x2500 = x 35.00 = x60.00 = x 10.00 = x-10.00 = x 50_00• = x10.00 = X 10.00 = x 10.00 = x 10_00 = _ .. ..... x 10.00 = x50.00 = x100.00 = x50.00 .=. x100.00 = x 15.00 = _ - • - - . - . - - I I(:)• ( ,(-') - I • (J() . - - . . - - • - . • SUBTOTAL • 4" 5 II •U-, 5 25-00 LUS: PROCESSING FEE . ' EQUALS: TOTAL PEI:W.! T r:._L DUE = • J. --,...(_(--