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1988, 08-16 Permit App: 88002400 FurnaceINFORMATION WORKSHEET PARCEL NUMBER: t y54z--o(oC)7 STREET ADDRESS: Iv CITY/STATE/ZIP: SUBDIVISION: BLOCK _ LOT: {✓ ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH J 6 R/W:_ # OF BUILPINGS: OF DWELLINGS: WATER DISTRICT: / OWNER: �`� 'l �J� � PHONE:`G- MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: PHONE: - - SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: PHONE: - - MAILING ADDRESS: ARCHITECT/ENGINEER- PHONE: - - MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT: PLUMBING MING INFORMATION CONTRACTOR LIC#: CONTRACTOR: MAILING ADDRESS: xxxxxxxxxxxxx*xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx�xxxxxxxxxxxxx*xxx MECHANICAL INFORMATION CONTRACTOR LIC # : /\A O u A-4 C I -1 3 IV CONTRACTOR: A & M QUALITY HEATiING1 INC E. 12710 hidiana MAILING ADDRESS: Spokane, Washington 99216:, ELECTRIC: GAS: OIL: COAL: WOOD: SOLAR: HEAT PUMP ENERGY CODE: WSEC: NWEC: UTILITY:. SGC: APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: **xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx*xxxxxxxxxxxxxxxxxxxx MECHANICAL FEES ITEM DESCRIPTION MtOER OF PROCESSING FEE CLrES OR NO DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER GAS HTG EQUIP (100,000)BTU GAS HTG EQUIP +100,000 GAS PIPING - # OF UNITS HEATPUMP 1-100 BTU HEATPUMP 101-500 BTU HEATPUMP 501-1000 BTU HEATPUMP 1001-1750 BTU HEATPUMP +1751 BTU REEFRIG 1-100 BTU REFRIG 101-500 BTU REFRIG 501-100 BTU REFRIG 101-1750 BTU REFRIG +1750 BTU AIR CONDITIONER 0-3 HP AIR CONDITIONER 3-15 HP AIR CONDITIONER 15-30 HP AIR CONDITIONER 30-50 HP AIR CONDITIONER +50.HP VENTILATING FANS EVAPORATIVE COOLERS HOODS CLOTHES DRYER RANGE GAS LOG UNLISTED GAS APPLIANCE €'.7,NDLER 1-10000 CFM PLUMBING FEES ITEM DESCRIPTION NUMBER OF PROCESSING FEE YES OR NO TOILETS SINKS SHOWERS BATH. TUBS, KITCHEN SINKS DISHWASHERS GARBAGE DISPOSAL CLOTHES WASHER UTILITY SINKS ELECTRIC WATER HEATERS FLOOR DRAINS FLOOR SINKS BAR SINKS ROOF DRAINS LAWN SPRINKLER SEWAGE EJECTOR WATER SOFTENER URINAL ` DRINKING FOUNTAIN