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1993, 04-13 Permit App: 92002443 Water Heater, PipingJOB STREET ADDRESS: CITY/STATE/ZIP OWNER: MECHANICAL PERMIT AP,PLICATION,FORM `3- �— '//��y Information,Worksheet , /I (/ci (-100,a- °t-1 Q;PARCEL NUMBER: /r•nS' , ,t , n, •,rPHONE NUMBER: M_ AILING ADDRESS: CONTRACTOR: cS.M! (, alealleJ - (Street) LICENSE NUMBER: MAILING ADDRESS: f - ,,,;,PHONE NUMBER: gip) DESCRIPTION' - ELECTRIC/DUCTWORK (SEPARATE SYSTEMS);, ,- .GASWATER%HEATER`"- %C FititJIPN1 l+tT> t; eb0 3 Cf p1x£+ GAS_EQUIPMENT+100,000 BTU DUCTWOR bl P NG {( 11:G?[ i BOILER/REFRIG 1 -100M -B p, Ixt1ligeFi1C 1U>; 5+i1UGlta<E'W, BOILER/REFRIG501-1,000M. BTU BOILER/REFRIG•+1,750M; BTU 7' HEAT PUMP AIR•CONDITIONER 3-15 TONS [Egge tviP ,t%Ct7 ?f ['<13N 5 <T l�31z HEAT PUMP & AIR:CONDITIONER 30=54 TONS - -- rrtiggandtK0119 t?(►S VENTILATING FANS----- (Street).:: : a) (City/State):• j MECHANICALWORK: TYPE I HOOD (PER •12'-OR.12' PTN: CLOTHES DRYER---- yM'y::(u�;:�.'n'�:i5t y. :%A'l'/LK<vN::.::r a GAS LOB g� I ; L ogir Jabori .t*tiorkt? .T:i> UNLISTED -GAS APPLIANCE 400;000 BTU 5Tp%11S A15PI.ftl1ti(�tt USED APPLIANCE _<400 000,0TU .. 5011#P171COl7t%IS t AIR HANDLER <10,000 CFM. F.I ttki. `N✓LF.II:'.h_At. O,.VT NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE 64' C�wlJ1 SpokaneBildiCounty Dlvislon of u ngs West 13113'Broadwav Avenue Spokane. WA 99260(5)91-456-3675 (ziP) NUMBER . OF 'ULi NITS X EACH M1,x 'UN -IT IT = AMOUNT-, x10.00 = x25.00 = :.:X-10.00.=--- Jai cc` ?c 12492.= x-1.00.=..: ; .... iOa "` x20.00:=-. <;.. - r.:= x 35.00 =.. = ..' x'60:00, _ .. , ..- ...-_.:_.„. :. . x12.00= X 20.00 = x25.00= X 35.00: = t x60.00e=_ . _. - - - .. t ;:... 55.10.00 x';10.00 {_ -: x 50:00'<= x 10.00 p x10.00 =,. x 10.00.= -_ x 10.00 = x10.00 = X,50.00.=. - :x100.00 = xi oo.00 x50.00= *100.00= - X 12.00 = x15.00 = SUBTOTAL • $ /AO /iO PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE 00 _..$ '