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1991, 11-27 Permit App: 91008296 Mechanical Fixtures,bry qct JOB STREET ADDRESS: ` cce) MECHANIC ERM' 'APPLICATION FORM'' reformation Worksheet PARCEL NUMBER: PHONE NUMBER CITY/STATE/ZIP:` c 44hfi Ii OWNER: kle:///%'- (i MAILING ADDRESS: 4-nv2''' CONTRACTOR: (Street) Heat Transfer In MAILING ADPRESS: ' N _ 1008 Ruby ''(Street) DESCRIPTION (City/State) LICENSE NUMBER:`" PHONE NUMBER: 8 13400 ''Spokane, WA 99202 c.29 �. (ZiP) atti-1881n MECHANICAL WORK ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) GAS WATER HEATER..' SGA QL' ('PK 'E i Mair �'( E1 E. GAS EQUIPMENT +100,000 BTU DUCTWORK). GAS PIPING (EAOTLE ; BOILER/REFRIG OOM BTU a s a<a BOIItR/pEp a< OnN(`I'IW s fids}$ BOILER/REFRIG 501-1,000M BTU `BOILERIRE RIG` 'i?i° '(- Y 777 > Y{v a:::< BOILER/REFRIG +1,750M BTU qtr: HEAT PUMP & AIf1 ONDITIONER 0 ' O S HEAT PUMP A AIR CONDITIONER 3-15 TONS HEAT PUMP}& All O(`IDITIONE; t5R3C1• HEAT PUMP & AIR CONDITIONER 30-50 TONS' HEAT PUMP & AIR CONDITIONER +50 TCS ,§12 ,.,N>2 VENTILATING FANS EVAPORATINECOOLE "�S�v,zv ` {:.:.. .......... ....::.:.. .:.....::::::: TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) CLOTHES DRYER RA -.. .::070E ::.:.....:.7:{:::.,.::::..:.:3Sr:• a`u.. �.:.,,:...v:,....ASca�t•::9aiw•:.�. GAS LOG u rS EL iEocfsw .170:•, v`a4, UNLISTED GAS APPLIANCE <400,000 BTU ffULIN5TED GAS�APP SIA. CF 0�,0 _ i:v: i:::.v•.`ai:. ii .vVY.: :W'•• �w, •••M�Gv .:tiv%+R4, USED APPLIANCE <400,000 BTU rOgi. 2aa:M....•. a. vvxv:• •:sYc •.ow:3., AIR HANDLER <10,000 CFM NOV 2 ?,1991 NOTE: MINIMUM PERMIT FEE IsPig15 - ":SAFETY SIGNATURE, (City/State) (Zip) NUMBER OF UNITS X EACH UNIT = AMOUNT x1000"s �. x 25.00 x 10.00 _•, x 12.00 - x 15.00 x t.00 = x 12.00 - x 20.00 = ',- x 25.00 = x 35.00 = x60.00 = x12.00 =:•. x20.00 = -`.. x25.00 = x35.00=" x 60.00 = X 10.00 = X 10.00 = x 50.00 = x 10.00 = x10.00 = x 10.00 a, x 10.00 = x10.00:+' x 50.00 V= x100.00 = x 50.00 x100.00 - x12.00 _ x15.00 = /cam +� c21-' - • SUBTOTAL $ PLUS: PROCESSING FEE ' + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE r�9' = $ �" Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675