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1991, 06-27 Permit App: 91003683 Pool Heater, PipingMECHANICAL PERMIT APPLICATION FORM . Infcrination Worksheet JOB STREET ADDRESS: ok 10i2. LDCVA c-1-- CITY/STATE/ZIP: SPOI(CUIP , LOCL q ci 0-060 . PARCEL NUMBER: i -7 OWNER: Lamar Chapnl a f(t, • PHONE NUMBER: At. MAILING ADDRESS: iii JO) 0- Lo e usr Sioora /A • (Street) (City/State) (Zip) CONTRACTOR: HEAT TRANSFER ' LICENSE NUMBER: HEATT1-188LN PHONENUMBER: 328-3400 MAILING ADDRESS: N. 1008 Riihy ' Spokanp. WA • ' (Street) (City/State) • MECHANICAL WOR DESCRIPTION • ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) . •. WOODSTOVEI1NSRT GAS WATER HEATER . A. GAS EQUIPMENT +100,060 BTU. DUCTWORK) ‘3AS PIPING (EA . BOILER/REFRIG 1:1.60M BTU BOILER/REFRIG 501:1,6-06WBTU BOILER/REFRIa+1,750M BTU HEAT PUMP & AIR CONDITIONER 3-15 TONS HEAT - -AlP'CONDITIONER HEAT PUMP & AIR CONDITIONER 30-50 TONS 1EArPOMRWAIrtp::yNbiTiciatw*six.:TONS VENTILATING FANS. EVAPORATIVE s. COOLERS TYPE TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) TYPEU HOOD CLOTHES DRYER • • RAG E GAS LOG 5.703.1M ATIOT,547: UNLISTED GASAPPLIANCE <400;000 BTU ' USED APPUANCE <400,000 BTU ririt'rOPIWrEMMOSTOWE:aradleat AIR HANDLER <10,000 CFM WatifiSibWainaganilnEWM NOTE: MINIMUM PERMIT FEE IS $35.00 • SIGNATURE • VA '1,4202 NUMBER OF UNITS X EACH UNIT • - • = AMOUNT. . • x 10.00 = x25.00 = x 10.00 = x 12.00 = x 15.00 = x 1.00 = x12.00 = x20.00 = x 25.00 .= x 35.00 = x 60.00 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x60.00 = x10.00 = x10.00 = x 50.00 = x10.00 = x 10.00.= x MOO = x10.00 = x 10.00 = x 50.00 = x100.00 = x 50.00 = x10.0.00= • x12.00 - x 15.00 = ' . . • - . . • ' . . . . . .. • • . i./ . ( . OCik . •1 • • • •• ,••'' '- . . • . • . • • • .. • . • . . • . • . • SUBTOTAL $ 16.00 PLUS: PROCESSING FEE i + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE . 00 =s i-4( ..--- Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 ZOODDDDDPDDD1. DDnnDDDP/ 0D;lnnnnn0D0^ HEAT T1!'ANSFER: SNC. - INSTALLATION @DDDDDDDDPPDDVDODODDODDDDPNWPDODDPDY LNAME CHAPMAN FNAME LAMAR MAILING LEAD PORTA POOL-ROY(992-1100) LNAME JOLT ADD 1012 LOCUST DILL ADD CITY SPOKANE C:ITY:=' ST WA ZIP 99206 ST2 HOME PHONE 'WOW PHONE c INSTALLATION DATE EXT ar PERMIT 0 CODE - n HOOKUF' li zTr2 JOB 0 ACCT II CREW - TYPE EQUIP GET PERMIT(COUNTY), DO AIR TEST, CALL FOR INSPECTION, RECONN, FIRE AND CHECK OUT. COLLECT FROM CUSTOMER!! DO WEDNF_DAY PM H/P OR A/C MODEL H/P OR A/C' SERIAL FURNACE MODEL 175 T/L onameranon ,FURNACE SERIAL_ INV INSCOST 0.00 EXTENDED WARP. 'JOB COST. memo COMMENTS - memo • : RANGE';;:.'' GAS LOG ._....:. Misc cu`" "gps (NOT ov"""" R`" ""irsEwHEg UNLISTED GAS APPLIANCE <400;000 BTU 3ULINSTED`CI S APE?U 4CE400.0b0 BTU' USED APPLIANCE <400,000 BTU 'USEd"APPLI NCE%100.000 BTU;' AIR HANDLER <10,000 CFM $AiR'RANDLER:>.10;000;CFM ` '777. (TO USE .MEMO PRESS F9 - TO SAVE CTRL END - OR ESCAPE) V v303' t �/�5r �ze-a-L71I NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE CC SUBTOTAL x 10.00 = x 10.00 = x 10;00 = x 50.00 = x100.00 = x 50.00 = x100.00 = x12.00 = x15.00 = PLUS: PROCESSING FEE EQUALS: TOTAL PERMIT FEE EWE ' Spokane.County Division of Buildings West 1303 Broadway Avenue ,Spokane, WA 99260 (509) 456-3675 + $ 25.00 =$