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1993, 06-18 Permit App: 93004778 Mechanical Fixtures1-K03. 01315" MECHANICAL PERMIT APPLICATION FORM ,A/a/ SM 15.E. Information Worksheet L -1 a JOB STREET ADDRESS: I I OCj ' S, .I_ C{ G '2r f6VI - `✓ rl CITY/STATE/ZIP'OOKQh e r 97 012 /J� PARCEL NUMBER: OWNER: t/` � I 5kti /./ PHONE NUMBER: MAILING ADDRESS' - CONTRACTOR* • (Street) Aqua Mechanical MAILING ADDRESS' (City/state) UCENSE NUMBER* kQITAMAR 1 nar PHONE NUMBER: 487-01 03 gip) 2407 E. Euclid Spokane, WA 99207 (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) 1; . GAS WATER HEATER GAS EQUIPMENT+100,000 BTU DUCTWORK). BOILER/REFRIG•1-100M BTU BOILER/REFRIG 501-1,000M BTU ..,FM. Vii;"�s° 4.C:gt1'1I BOILER/REFRIG+1,750M BTU • Af.i �.& .n���4:<i7.iR.K:A©\ @'4/\i�..R��b.`V•n�,'�.�:A,L.C.'.1:%;':::'ysc HEAT PUMP & AIR CONDITIONER.3-15 TONS HEAT PUMP. & AIR CONDITIONER 30-50 TONS VENTILATING FANS EWA 7Valfailireentr,4-512±; TYPE I HOOD (PER 12' -0812' PIN. OPHOOD) >,teRit jt o p t CLOTHES DRYER 1 gyre GAS LOG `' t ISGEI"#AiIE00~L Q't-CIE- ED, Rik . 97% UNUSTED GAS APPUANCE <400,000 BTU • STED, S, Pt: USED APPLIANCE <400,000 BTU SEO:A-P • 0E640 e .000aWil AIR HANDLER <10,000 CFM (•Fd,`n,,,,ANDI?'ER O);000 M NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE -Q G!/�✓� NUMBER OF UNITS - X.EACH UNIT = AMOUNT x 10.00 = x 25.00 = Th. e. CDO x 10.00 = ja,..oc . x12.00 = fl x15.00 =" . 11.00 ._' .. ..-. ":..,_. ,,(.:' ., x.12.00 'e :c ..'""':.i;. `= .':°: . x20.00 = x 25.00 =.• 'Z,: _ • ," x35.00:= x60.00 = . .,.. . .• *12.00 = x20.00.= -H :.:'.' 4:,:'" ,_ . . .: . x5.00 =':.:.;> x35:00,= _" ..... `4,:;.:.,... ;.:* • x60.00 =( x10.00 = ...::.;.;:4.: :.. . . x 10.00 _:. x50.00 = . - ;r.... •- . • x10.00 =" x10.00=.::' .. ... .• . ,. x 10:00 a... x10.00 = s x50.00= x100.00 = x50.00= x100.00 = . x 12.00= x 15.00 _ SUBTOTAL $ .0 -Li. op PLUS: PROCESSING FEE +$ 25.00 EQUALS: TOTAL PERMIT FEE DUE _$ (Cio61) Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675