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1993, 02-26 Permit App: 93001098 Water Heater, PipingU509L . )caa,c,0 M (tZ 6 l;� JOB STREET ADDRESS: CITY/STATE/ZIP: 5 OWNER: 2gLPH POI.- n ECHANICAL PERMIT APPLICATION FORM -0 Information Worksheet I\(DIOEQ CE fOE E PARCEL NUMBER: X31,© -OS MAILING ADDRESS: CONTRACTOR: SME— - treat) 11+T(, e C.901 - PHONE NUMBER: 9a1-1-1541 541 (City/State) (Zip) LICENSE NUMBER: 3IRAicPHra31-I013_ PHONE NUMBER: S -1711% spC>AaNe wa ►aCC) MAILING ADDRESS: )o1 -)Il Etcl- TRENT - (Street) MECHANICAL DESCRIPTION_ (City/State) Zip) WORKSHEE;P/FEE SCHEDULE NUMBER X EACH OF UNITS UNIT DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER. HEATER __ _ ...' HEATING EQUIPMENT <100000 BTU. HEATING EQUIPMENT +100,000'BTU GAS PIPING (EA OUTLET).' Ljt 'REFRIG' 1-100M BTU (NOT, A/C OR HEAT PUMP}t';(; REFRIG 101-500M BTU',>': REFRIG 501-1,000M BTU `,`: REFRIG 1,001-1,750M:BTU • _-_ REFRIG +1,750M BTU _ HEAT' PUMP &" AIR CONDITIONER• 0-& TONS',;_;;_. HEAT PUMPR'^ ' & AIR CONDITIONE3,-15:TONS t{ i HEAT PUMP & AIR CONDITIONER115=30 TONS;: HEAT PUMP & AIR CONDITIONER?30750:`.TONS'ft HEAT. PUMP & AIR CONDITIONER +50.';TONS VENTILATING FANS EVAPORATIVE COOLERS 5R-12' _ _ TYPE 'I HOOD (PER 127 OR 12' PTN.: OF:. H000) 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 >400000 BTU AIR HANDLER <10,000ICFM AIR HANDLER >10,000ICFM NOTE: MINIMU. k?ERMST_1•_k:F: f5 $35.00 SIGNATURE x$30.00 X%25.00 x' 10.4 o x. 12':00 x .1:00.a x.12.00 .A ): 20'.'00:''= X25:00%=' x; `.= x'.G0.00'';� x 1'2.0C'Ri x°;:'20:'00:m 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 = X 50.00 X100.00 = x 12.00 = x 15.00 - •- AMOUNT 1010n T SUBTOTAL PLUS: PROCESSING FEE $ iq,c + $ 25.410 EQUALS: TOTAL PERMIT FEE DUE = $ 7,40 Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675