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1992, 07-23 Permit App: 92005711 Gas LineJOB STREET ADDRESS: CITY/STATE/ZIP: OWNER: • a MECHANICAL) PEOMIT APPLICATION FORM tklrfurma'tion Workshee 3 3o' �r ice/ R S.( Ac111C� I C) 1-1 Ca•C) 1 CD' '.PARCEL NUMBER:'•' PHONE NUMBER: MAILING ADDRESS: • CONTRACTOR: MAILING ADDRESS: (Street) y, Heat Transfer Inc.. `rk<„ (City/State) ..I.,: (z1P) "LICENSE NUMBER: Heatti-1881n E PHONENUMBER•• 328-34'00 1008 Ruby. s sS okane, WA 499202 (Street) 1"ssi�l`Z, (City/State) • 1.rbp. or MECHANICAL WORK DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) GAS WATER HEATER GAS EQUIPMENT1007000 BTU (INCLUbES•;- ., GAS EQUIPMENT+100,000 BTU DUCTWORK) GAS PIPING (EA OUTLET): BOILER/REFRIG 1-100M BTU :BOILER/REFRIGOOM'BTU.:;,,,_;,', BOILER/REFRIG 501-1,000M BTU .................... BOILER/REFRIG 1,00014,75oM BTU BOILER/REFRIG +1,750M BTU HEAT PUMP & AIR CONDITIONER:O-3"TONS'';i HEAT PUMP & AIR CONDITIONER 3-15 TONS HEAT PUMP_ &'AIR CONDITIONER .15730 ;TONS.;:;;,_:;:_.:: HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT PUMP & AIR CONDITIONER +50 TONS: ;:..': VENTILATING FANS :EVAPORATIVE COOLERS.::, :. • TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) CLOTHES DRYER RANGE GAS LOG i'v MISCELLANEOUS (NOTCOVERED,ELSEWfiEAE.? UNLISTED GAS APPLIANCE <400,000 BTU ULINSTED GAS APPLIANCE:>400'I0,00 BTU,` 7 Ss>:'' USED APPLIANCE <400,000 BTU USED_'APPUA CE ,_00.;000 a AIR HANDLER <10,000 CFM AIR HANDLER>101000.CFM::';:;:_'.;, �::. NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE (ZIP) 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 = x25.00 = 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 50.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = / x10.00= /0),tO(`l x 50.00 = x100.00 = x 50.00 =. x100.00 = x 12.00 = x 15.00 = SUBTOTAL $ O.6© PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE F c �® _$ JUL 2 3 1992 SU°LLAANG & SAFETY Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675