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1993, 05-20 Permit App: 93003975 Mechanical Fixtures
MECHANICAL PERMIT APPLICATION FORM q 3 -3cZ Infc)rmation Worksheet JOB STREET ADDRESS:/' //c2l t 9 ie / j t4) CITY/STA /ZIP: ,..)p 0 K ar7( A- G3PARCEL NUMBER: OWNER: `P)/ PFIrdAt&. % Y1 PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: Heat Transfer Inc. UCENSENUMBER: Heatti-1881n PHONE NUMBER: 482-2000 MAILING ADDRESS: N. 3003 Crestline Spokane, WA 99207 - (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER OF UNITS DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOODSTOV,,. INSERT<s`<. . . • <`' '><' > <`<`' < '; «;'"` 3AS WATER HEATER 3AS:ysah:-:%:'::: EQ�JIPMEI�I"04�;000 flTL!(I[�fC��JDES��:::<::n....:.... 3AS EQUIPMENT+100,000 BTU DUCTWORK) =:�N3 (EA OUTLET) ...... OILER/REFRIG 1-100M BTU O1LAR C 70):=500tifi J 30ILER/REFRIG 501-1,000M BTU 3Q1LER/REFRIG[ 110004ft50M IOILER/REFRIG +1,750M BTU iEAT.P,UMPAAIRCONDIT►ONER;0 3 TONS::: !EAT PUMP & AIR CONDITIONER 3-15 TONS EAT PUMP &AIR CQNDITIONER`15 30`TONS EAT PUMP & AIR CONDITIONER 30-50 TONS EAT PUR CONDITIONER +50 TONS::';;.; ENTILATINMPG& FAAINS YPE I HOOD (PER 12' OR 12' PTN. OF HOOD) (PEII.H000 LOTH ESDRYER�::::.::................:................................................. ............................................................... . X EACH UNIT = AMOUNT AN............................... ............................... AS LOG IS0EL€:ANEOUS:(N01 COVERED SEWHEi E :. VUSTED GAS APPLIANCE <400,000 BTU INSTED GAS APPLIANCE 400 00� BTU 3ED APPLIANCE <400,000 BTU R HANDLER <10,000 CFM t'RAWSift#57. 10�4CQ CFI€ OC•.ui�n:t6i: T=IMO $�`W�Fwv:GvWDNGLOO x 10.00 = x 25.00 = x 10.00 = x 12.00 = x 15.00 = x 1.00 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 10.00 = x 10.00 = x 50.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x 50.00 = x100.00 = x50.00 x100.00 = x12.00 = x 15.00 = /0.00 /c. 00 00 )TE: MINIMUM PERMIT FEE IS $35.00 3NATURED SUBTOTAL PLUS: PROCESSING FEE EQUALS: TOTAL PERMIT FEE DUE pokane County Division of Buildings West 1026 Broadway Avenue Spokane, WA 99260 (509) 456-3675 + $ 25.00 • MAY ' 2 0 1993 5--m"