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1992, 12-08 Permit App: 92010734 Mechanical Fixtures 1 �i "•Y • �;`:4!,..71,.• Y,.;:et4°i `,,',y..1.1'" .''Jeff ii, ,,•.iil t! i • .� "k i 2. l� • I !' F r c , MECHANICAL PERMIT Artt'LICAti RM ,� , ?{. ;�: . .5,, •a.,, ,f, . Information Wgrktheet ,:,.J411,,,:.0::.;,.,. � � 1 I'...., 7 JOB STREET ADDRE S: .11-.i:.L.ti.'s.../, i, 2..,, 2 . E �.4"S ii,.-:;:�;,�, `4 ... . CITY/STATE/ZIP:. '',�r� ���'. ... � . ' (S_ .. °l,,, /4F' PARCEL NUMBER: e - .. OWNEb x;. fL fi.l�. ., � � 7/ �4' PHONE NUMBER: • MAILING ADDRESS '..1..-.K''''. . • lh. • ;.0..,4., ,` (Street) ' • (City/State) .. (Zip) AO , CONTRACTOR: A, , Q LICENSE NUMBER:/2-7—/(3 / Z / y JP c� PHONE NUMBER: y�'v2-7 ?,i 3 ? MAILING ADDRESS: / -�,.P . /0/1?747�,��/a�/ SPrfie7/7E /(r. 1I.. 7?',206 (Street) • ✓ J (City/State) ' (Zip) ''r' ;` MECHANICAL WORKSHEET/FEE SCHEDULE ._„`. r NUMBER • • X EACH DESCRIPTION ' ' OF UNITS UNIT .'. .:` *,AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 •. ..-' ' GAS WATER HEATER 1. �wqK• '#r .- x 15.00 0 00 C--C) .....:.. ::.,.. >. ..:....r= z.f, ., x 12.00 W ,!,.:. GAS EQUIPMENT+100 ti , , �%F_ ��`U L t .';' .. ,000 BTU bUCTWOR k 15.00 ::�, r�; L � ' `,�' �� GASG P is.N (EA outL ;{�f; +y�j y. yc:,<j:;,,:..;;.;,., - . -��` ,.. .► ;>. t 0 :I :. i.l .. . : '�� r �N'fMSI ��� �Sri'i N}�'�,tCf Y;� 5 ki 1 00 i!ti' y,s•. r f L' 6•••,._• l� '+,rZ'l BOILER/REFRIG 1 1o0M tlTU ”"¢ •• x 12.00'��• . 11',.'1: OIL. t . 4R 'V A _ <E�4�• S� ' ` • ..BOILER/REFRIG 501- 1,000M RTU x 25.00 � � ,, }i ' }tibigt ° g„liAN. .a � tAl � x 35.00 ti ,BOILER/REPRIG +1,75MbTU � "• i. ' � x 60.00 I • ,j j AI `GN TOJS •x 12.0041 HEAT PUMP &AIR CONDITIONER 3-15 TONS x 20.00 r' HEAT'ISN� AiI 0ONC31 '1o, r:ib TONS .._ . , .00.�+ •. , HEAT PUMP &AIR CONDITIONER 30-50 TONSx 35 00"'" �' ;1; • +•• VENTILATING• ., (JI ? x" : X 60 00, _I n :+,).)< 1, VAf 1 11jE ANS • X 10.00 +iv u.. •. _ i ...3.01/N i . :.: ..........:::5;;; .<�'.,.�,�',.:`.<: `. , • .._ X 10.00..,,h �� '", �; •. ',• TYPE I HOOD (PER 12' OR 12' PIN. OF HOOD) x 50.06 i TYPE II ftott3 vy:.ylY. W} y...` x10.00 00 � CLOTHES DRYER 4�l ' i �: CiANGE � �;r�� �r x s � '� , rK,,.`'iw . , .y _ x 10.00 ax t - �£, t .QSµ • , GAS LOG _.. , . x1000����; may.,' MISCELUINEOUS (NOT o'� I;0b ELEwI. E x 10.00•; `:►t UNLISTED GAS APPLIANCE`2400,000 •BTU _ i k 50.06t •11•' i,i ULIN to GAS APPLIANC h Od,000bTU �r x100.00 s i: ' USED APPLIANCE <400,000 BTU x 50.00 •n :1$' USbt Af 1IAN tl6,0o :.`"''>: E ' ',(j t ri ;` x100.00 AIR HANDLER <10,000 CFM x 12.00 y `• " AIR NANDL R>10,000 Gr�JIn a ,�� .::::`. :« x 15.00 >_ �` SUBTOTAL PLUS: PROCESSING FEE + $ 25.00 NOTE: MINIMUM PERMIT F EIS$35.00 . EQUALS: TOTAL PERMIT /"': x +' • FEE DUE 0 _ $ • SIGNATURE ,,� •• Spokane County Division of Buildings . . West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675