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HomeMy WebLinkAbout1992, 01-09 Permit App: 92000135 Water HeaterWAw" MEUHAN1t;AL rrmv111 NrmitoRIM11 runin _ �►�p d3 Ir..formati6n Worksheet a „X35 JOB STREET ADDRESS : `5-- CITY/STATE/ZIP: g 099,2�oPARCEL NUMBER: OWNER: MAILING ADDRESS: �e 119 (Street) PHONE NUMBER: State) (Zip) CONTRACTOR: C�OFh�D,� GUI Ems - LICENSE NUMBER: S /W -6k T11 - PHONE NUMBER: (A99 _ // ;;10 k j 61�1 MAILING ADDRESS: P06 3'7D � (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION NUMBER OF UNITS X EACH UNIT = AMOUNT DUCTWORK SYSTEM_ _ _ _ _ _ _ _ _ _ _ _ _ WOODSTOVE/INSERT - - - - - - _ - - - - - _ _ _ _ GAS WATER HEATER_ _ _ _ _ 'ETU HEATING EQUIPMENT <100,000 BT _ _ _ _ - HEATING EQUIPMENT +100,000 BTU GAS PIPING (1 --4 OUTLETS) _ _ _ _ _ _ _ GAS PIRING (5 OR MORE. EACH:)_ _ _ _ _ _ REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) REFRIG 101-500M BTU_ _ _ _ _ _ _ _ _ _ REFRIG 501-1,000M BTU_ _ _ _ - _ - - - - REFRIG 1,001-1,750M BTU_ - - - - - - - - REFRIG +1,750M BTU_ _ _ _ _ _ _ _ _ _ - HEAT PUMP & AIR CONDITIONER 0-3 TONS _ _ HEAT PUMP & AIR CONDITIONER 3-15 TONS _ HEAT PUMP & AIR CONDITIONER 15-30 TONS _ HEAT PUMP & AIR CONDITIONER 30-50 TONS _ HEAT PUMP & AIR CONDITIONER +50 TONS _ _ VENTILATING FANS_ _ _ - - _ _ _ _ - - _ _ _ _ _ _ _ _ _ EVAPORATIVE COOLERS_ 5R--1i1-PT-N. TYPE I HOOD (PER 12' OR 12' P'I'N. OF HOOD?) TYPE II HOOD CLOTHES DRYER RANGE__ -------------- GAS LOG__-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_- MISCELLANEOUS (NOT COVERED ELSEWHERE)_ _ UNLISTED GAS APPLIANCE <400,000 BTU_ _ _ UNLISTED GAS APPLIANCE >400,000 BTU_ _ _ USED APPLIANCE <400,000 BTU_ _ _ - _ _ _ USED APPLIANCE >400,000.BTU- - - _ _ _ - AIR HANDLER <10,000 CFM _ _ _ _ _ _ _ _ AIR HANDLER >10,000 CFM _ _ _ _ _ _ _ _ x$10.00,= x 25.00 = x 10.00 = x 12.00 = x U49 = x -4--96-- 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 30.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x 50.00 = x100.00 = x 50.00 = x100.00 = x 12.00 = x 15.00 = _ O © D / SUBTOTAL $ �� • ns PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT NOTE: MINIXUKPEM14I FEE IS 5.00 FEE DUE SIGNATURE Spokan Coun Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INVUICE AND INSTALLER RECAP SHEET (INSTALLER TO ATTACH JOB DETAIL - LABOR PRICING WORKSHEET IgSTALIER n A n A n n AND THE CERTIFICATE OF COMPLETION - TO THIS RECAP) DAr_r nr INSTALLATION OFFICE UNIT NO. � DATE NOTE: If the Installation office unit P.O. BOX 3707 number is different than the SELLING UNIT NO. CHECK NO. SPe,K, 1 selling unit number, the total dollar amount is to be atm'd to the selling unit. DIV. NO. �— AMOUNT$F FED. I.D.# CUSTOMER NAME WORKORDER OR SALESCHECK NO. SOLD LABOR UNSOLD LABOR DUE TO PRODUCT ERROR UNSOLD LABOR DUE TO INSTALL ERROR INSTALL WHSE CHGES INSTALL DELIVERY & HDUNG CHGES MATERIALS SUPPLIED TOTAL COST TOTAL SELL TOTAL M/U% �O c TOTAL $C $ $ $ $ $ $ $ $ $ 3 % ACCT. ACCT. ACCT. ACCT. ACCT. ACCT. ACCT. ACCT. — — — 187-04-000 1 103-00-000 187-08-000 140-87-001 116-87-000 105-01-000 M13 (2/91) Sears Forms Management INSTALLER