1991, 12-05 Permit App: 91008412 Heating EquipGAS
A S
I- AGS
Bolt
BOIL
HEA
:HEA
t", A
H
NUMBER
MH ANICAL OthAPPLICATION FORM
Informationorksheet
J00 STREET ADDRES&I
CITY/STATE/ZIP: CEL NUM8ER:
-
10.66
OWNER:.-t��,.1,14,10HONE NUMBER.
MAILING ADDRESS.
(Street) (City/Stdte)
(Zip]
CONTRACTOR:— Rahn6i Fiji-fibrO& PU6i fic, kJ1'6_ E" N'S' E N UIM B E R: B A 9 ti E V F'_ J. 18 Nf
CONTACT: RUSS LUNDE PHONE NUMBER: 9 35-1711 g.
0'!.;; :k 6 8 k e, WA. -`0202
t 434Spokane,
MAILING ADDRESS: 6
(Street) (City/State]
(zip)
MECHANICAL WbAkSH EETfFEE SCHEDULE
X EACH
DESCRIPTION, NITS N
AM6UN' T
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
10.00
kr t
GAS
A S
I- AGS
Bolt
BOIL
HEA
:HEA
t", A
H
NUMBER
10.66
x 12.60
00
k 1.00
xl 2.00 7
k 20.00
k 25.00
35.
kob
k 60.00
x 12.00
ya
x 20.00.
kr t
k 25.00
35.00
66.60
10.00
-50.00
x 10.00
x 10.00
i 10.00
X 50.00
j(100.00
i 50.00
00.66
x 12.00
Y-
M.
SUBTOTAL
PROCESSING
P'tti ,
EQUALS: TOTAL PERMIT;'
FEE DUE
loils,i 6 h 0f B, ut i I d h"gS
WA 99260 (509)'456_-3675