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1992, 12-21 Permit App: 92011074 Gas Dryer, PipingMECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESad CITY/STATE/ZIP ce PARCEL NUMBER: ��T S _l'IJ/M � ?_5-7- OWNER:)6i / / `� PHNE NUM/SER: MAILING ADDRESS: Al /0c -7,X J»�' -SOK-Mt) 1,124 Street (City/State)_ (Zip) CONTRACTOR•.-�sV.6"" t- �' / / LICENSE NUMBER: �= A/7 ' i!' S 0 99 4' 9 99 % PHONE �jUMB R: r.,* -- ,5 MAILING ADDRESSt2S I ije S'1 I'niS eg5 (Street) (City/State) (Zip) okA MECHANICAL WOR DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) GAS WATER HEATER y.... $j' .{y��y.►�. �}y(11Y:yyyyiiii,��� �¢e �(�♦{ ` �} .'DES' '}TRIl':�F�F�::?lF:i:•AI•:..l:�I. .,...:: n.vY::..... :Y::::}}::rr.•.v:%{v}.?: :}r::. Y:::::. nvr::::: nvw:::: x:::. •:r:::.v:::..:. xr: ::: n .......... .... ........ GAS EQUIPMENT +100,000 BTU DUCTWORK) } iso {i:•':'> ;?};: ?` . :,:;;,:.nt;..t}< BOILER/REFRIG 1-100M BTU Y..:.... . , ; h .::: • ••, ::• •4 •',%pt�.',?•':Ki'•j"..: Y:?i:iY':},liw{::$5?:ih'•i:<4?':..vv •v. ��y( 1i■�� �}Y+.yyWy r.•:: tiS.�.:{if�{+:2xiij?i`�:ti�tii>i?�•:2::j'}i�i::::':>:::oti>:•'.'•.;U�:'vi .r•M.�d{1RTIN•l{:��:.%•;::?•Y:yih•}i}:{v:v:•}::ivi4.Jy.:• n'•iiiS:iY::d'r:•:7:}{C}:; BOILER/REFRIG 501-1,000M BTU {.,•n .:..., .:.}...:... n. .. :•• +}•: •rr :ir 1;•'•:}'u... :•.{r.;: •}/• r ••vk_�:J::S:i{'}'r. :'.:"i:Yi":i::::{{:{::t:: is BOILER/REFRIG +1,750M BTU • :.::::r::r}r:.K,�::.r:::::,r<.v...,.:::,.::.v:.t:t%:��s�.........:..r....... HEAT PUMP & AIR CONDITIONER 3-15 TONS ::.�•}.(,.. • ,vM:vwmt •v,vrr::: i.::.vrvvH::vw„4v..J:...v.• \.vr+:vx.� .v.. �. h,}:::?4::1 HEAT PUMP & AIR CONDITIONER 30-50 TONS etonotteiff VENTILATING FANS .... r.: ..., v xn:• fi{{,.,...: .,, . ,r..: .:rr.......... ::2y •iii• d.. .XK..ti ...}Yj`.�:r/t}{ii:-i::;;Y.;: v: r. ... Fre` {}}'•fiv'', +i?i::� tiY::::•Y,Yi?irr1.:Y}:i::?'r?itiii'.'';•r;± ,::ti`i TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) �,},}�,,C•!.�{' (M,�•M��• nNF;4iIh%{`h CLOTHES DRYER �•":���� �` �..� �;`?y..��:•�'-`i �{;;' ' Fr:L•. t:�-<,4•,'c', j;. C J•:{<y: '::sa::v A.. x?.- . 'w:,r. .; �::.. '...nt:n:• GAS LOG ,.:.,tt::v::. v.:.::.n UNLISTED GAS APPLIANCE <400,000 BTU •.vyn:tt}}:hv.:}:� :,}•::.::vF•;: �:;�.}:Y•::.}v:.;i.:; ;L •.}•t}tt,et}•:.Yv4•.'•ti}v ?'.?;Ei,?% :�:•i:4:i::i:iii::i::::$F; i.:'. USED APPLIANCE <400,000 BTU AIR HANDLER <10,000 CFM • NOTE: MINIMUM PERMIT FEE IS $35.00 NUMBER OF UNITS X EACH UNIT = AMOUNT 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 = x60.00 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 10.00 = x 10.00 = x 50.00 = x10.00 = x 10.00 = x10.00 = x 10.00 = x 10.00 = x 50.00 = x100.00 = x 50.00 = x100.00 x 12.00 = / _ G7, / 4°7- /0 x 15.00 = SUBTOTAL $ PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ SIGNATURE Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675