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1992, 07-31 Permit App: 92005947 Mechanical Fixturestat ,:tt,t."(' • '7473WIF-77-437 iffMMECHANICAL PERMItAl;OLICATIOS OORM:. it • Information WorIteheet. JOB STREET ADDRESS: CITY/STATE/ZI irt? OWNER: . . MAILING ADDRESS: • ..• • • ••• • (Street) CONTRACTOR: ho:ttift PARCEL NUMBER: PHONE NUMBER: 6?1?. • (City/State) (Zip) LICENSE NUMBER: /9_Z1t2 Pr /V/ JP MAILING ADDRESS: PHONE NUMBER: 021 frontat 7%2,5o (CIty/Siate)(ZIP) • .4stbit2e MECHANICAL WORKSHEET/FEE SCHEDULE' . • : (Street) DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) *4.. 15§t. 6901.10.0AtagaraiTaa:;•;-•;;;;I:::,4.„ ' GAS WATER HEATER do;gauitymeRt7?-11515*triS6E0oga'ovii:;:' GAS EQUIPMENT +100,000 1176'.DUCTWOIIK) ' OAS.:Pikikto(4.ourtiOlar! BOILER/REFRIG 1-100M • • • - Eidigeg040:51)1743-lrit*Wila744W 'BOILER/REFRIG 501-1,000M• Liien.6....FtilFbancratirMie3WI: tirARV8 vILER/RtFRIci +1,750M RTU • • HEATNTyin Ain d5Nbit.0101761;:refig777.7. HEAT PUMP & AIR CONDITIONER 3-15 TONS HEAT7PLIMpAAIFI CONDI7JDNERN90.TONS::' HEAT PUMP & AIR CONDITICINE1130-66 TONS ,!-1:111.1*P00.51e0.02.§K.VEtiAi VENTILATING FANS •:- • EVAPQATIVE`COOLgriMiti MrAra.774,771.:7.. TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) CLOTHES DRYER • • • ' 9AN9 E • • • ';',t,kt;IVA::'4: :;:: • GAS LOG MISCELLANEOUS (NOIdttaikkaLatinnlithE UNLISTED GAS APPLIAt4O-400,066 BTU uLiNt05.:6As APOLIANd..60;06o DTU USED APPLIANCE <406,06661U • USED AOLIANCE.540006..7,0TAVECHi::::;:: AIR HANDLER <10,000 CFM"';' ' ' AIR HANDLER ode dikO> -•:*4- • • NOTE: MINIMUM PE MIT FEE IS $35.00 . ;"' • SIGNATURE NUMBER : ; ... OF UNITS UNIT T.H! ', = AMOUNT x 10.00 a x 25.00 x 10.00 :pilr: x 12.00Llii3i4 la, x15.00 fl •.( )(1.00 -*,12.00:;, :=..; . x 20.00;st* x 25.00' ;=:t ' x 60.00 . , •"'-,t x 12.00 '!• • 4.0 X 20.00 x 25.00 rig x 35.00,; t.i .x60.O0 '1 /d. cro 7., Az. o -c) ' 7, ' '•:'•••" : ; '-', ;:,,I,Y, - r:'. :•:. :1. . . k ..V tjp- 'Ai'', . r: ::::',.:4•;? , ,iiii x10.00 'c x 50.06 7.,!' X 10.00 = x10.00 = I: x 10.00 = • -:.: x 10.00: =;:47.-; x 10.00 ;4.Y3'.: 50.00T .44 x100.00 = x 50.00 . .1). x100.00 = x 12.00 &P x 15.00 Le • . its• " ''''' ' • ;- ;'e : -: • VT: t SUBTOTAL $ PLUS: PROCESSING FEE +$ 25.00 EQUALS: TOTAL PERMIT .: FEE DUE " =s fiford • Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 • • , ; ;•••;• :V? •