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1993, 04-05 Permit App: 93002160 Furnace, PipingMECHANICAL PERMIT APPLICATION FORM.:: t-.),••••1-.3- Information Worksheet •-•-‘7 JOB STREETADDRESS: 7905 '.F./k/ /A ck • -- CITY/STATE/ZIP: SpkAne. WA -992/i • PARCEL NUMBER: : -:••• OWNER: ih) r - MAILING ADDRESS: arn e - (Street) (City/State) - (Zip) -; CONTRACTOR: rg in liar° Viu.144 11li4 ,Jlc LICENSE NUMBER: UNITE se PHONE NUMBER: S -O9 - -Soo o PHONE NUMBER: 922-3257 MAILING ADDRESS gE /Arca -mcL_Ins-PcIS m. 7 f.2.6 ---- - (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION - - • ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WbbbBfaSitiiNBtRt.,;.., . GAS WATER HEATER ' eAa.tbijiiiMENtcatiO,b00 ani.(iNcLUors GAS EQUIPMENT +100,000 BTU DUCTWORK) GAS PIPING (PA OUTLET) • • BOILER/REFRIG 1-100M BTU • BOILtR/REFRIG .10400M BTU BOILER/REFRIG 501-1,060A BTU _ .... fBOILER/FIEF110.4;0001;.+,1.,7"001“1..11.1! :BOILER/REFRIG +1,750M BTU _ --- _ • ,HEATPUMR.k.AIR.CONDITIONERi03 TONS .. HEAT PUMP & AIR CONDITIONER 3-15 TONS ' ilHEAT,..PUrOXA1R . tbi\ibititiNERlatitNsi:; HEAT PUMP & AIR CONDITIONER 30-50 TONS H6Alt,pUrvir4:.&.Aih-CoNOITIONEti4.50:170Ne;::H:,,:tici:;. VENTILATING FANS •.EVAPORATIVE : ........ .. . '''''' --•:; TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) • - TYPE II HOOD CLOTHES DRYER GAS LOG' MiSCELLANEPUS(NOT'ObVEREb ELSEWHERE....,.„. • UNLISTED GAS APPLIANCE <400,000 BTU ULINSTED GAS APPLIANCE >400,000 STU - USED APPLIANCE <400,000 BTU USED APPLIANCE >400,000 BTU .................................... AIR HANDLER <10,000 CFM AIR...................... ... .......................... ' NOTE: MINIMUM PERMIT FEE IS $35.00 NUMBER OF UNITS X EACH UNIT = AMOUNT x10.00 = x 25.00 = x 10..00 = x 12.06 a x 15.00 = x 1.00 =, x 12.00 = x 20.00 = x 25.00 =- / a .,t, 0 i - it. co x 35.00 a x 60.00 = x12.00 = x 20.00 =_. x 25.00 a x 35.00 = x 60.00 a x10.00 a x10.00 a, x 50.00 = x10.00 = x10.00 = x10.00 = x10.00 = x10.00 = x 50.00 a x100.00 = x 50.00 = x100.00 = _ x12.00 = x 15.00 =. _ . - - --- 1 - . .- - • SUBTOTAL $ /3.. 00 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT - - -4' FEE DUE SIGNATURE ff Z. • i:-L-•;;:azi•S2.tr.:::-.-.-: f.:-.:- ,--„n -4.:-.• -2,...•-‘.T., - a.-.. ---- -'--•-r-;''-•'''-:""4•;r-''tt-•-;-€'•'-"'::g-r- .. • - •;•7.-::',•;;L;t'4...5%,-c•727.tZta...c:itn.:4.2y •- .. _ • • -..- -, Spokane County Division of Buildings -:-7-7-••• • • _ ,• ........ West 1303 Broadway Avenue Spokane, WA .99260 (509) 456-367 -, .; --..:,:lirt,:::f22-4[,::::->,1:r': V:..:1'.5f,:;:11;C.:;17.7}.:1:37-zr7-`77:- -4 72' .1174-:nra-r'' c.r r--4-rca