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1992, 09-11 Permit App: 92007504 Water Heater, Piping
MECHANICAL PERMI:i At LIGATION FOR , Information Worksheet JOB STREET ADDRESS::x•; ;�i'j O$ rrA' ig- CITY/STATE/ZIP: ARCEL NUMBER :..- OWNER: /.9 t /14Wst.J' . • PHONE NUMBER: „•, • ,.. . MAILING ADDRESS: Silt" et (Street) (City/State) (Zip) CONTRACTOR: Ranher FnrnAre & Fue1 • Iiir:LICENSE NUMBER BANNEFF378NT CONTACT: RUSS LUNDE PHONE NUMBER: 535-1711 MAILING ADDRESS: P.O, Box 4346 Spokane; WA: •99202 DESCRIPTION (Street) (City/State) • MECHANICAL WORKSHEET/FEE SCHEDULE , ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOODSTOVE/INSERT ,; GAS WATER HEATER GAS EQUIPMENT <100,000 BTU (INCLUDES'; ;:. GAS EQUIPMENT +100,000 BTU DUCTWORK) GAS PIPING.(EA'OUTLET) BOILER/REFRIG 1-100M BTU BOILER/REFRIG 101-500M BOILER/REFRIG 501-1,000M BTU BOILER/REFRIG :1;0001=1,75OM°BT BOILER/REFRIG +1,750M BTU HEAT PUMP & AIR; CONDITIONER 0-3.TONS HEAT:PUMP & AIR CONDITIONER 3415. TONS HEAT -PUMP &AIR CONDITIONER 1,5=30 TONS HEAT PUMP & AIR CONDITIONER 30=50 TONS HEAT PUMP &;AIR CONDl'IONEq+50.TONS .:;;..;s;._' VENTILATING FANS 'EVAPORATIVE COOLERS-: _ ::;`... , .. _• TYPE I HOOD (PER 12' OR 12' PIN: OF HOOD) TYPE II HOOD • •: CLOTHES DRYER RANGE-` GAS LOG MISCELLANEOUS (NOT COVERED ELSEWHERE_ ''. :` UNLISTED GAS APPLIANCE <400;000 BTU ULINSTED GAS APPLIANCE>400,000 BTU USED APPLIANCE 6400,000 BTU USED APPLIANCE400,000BTU,. ;;2•.;.. AIR HANDLER <10,000 CFM AIR HANDLERS -10;000 CEM NOTE: MINIMUM PERMIT PSIS $35:00: SIGNATURE -. (ZIP) NUMBER OF UNITS .. X EACH -...UNIT, '„-, .,=AMOUNT x10.00 Is x .00= .. *16.00 = * 12.00 = 215.00•_•.' i 1.00 = 12.00 X 20.00 _ •:„ k 25.00 t4,,. . 235.006t -t *60.00.=y"•...,.• z1.00 ,= ' • x 20.00''-':a PX'25:00 i=; k 35.00. •i% X60.00._; :? rt ,f X 10.00:-:;{ x 10:00'=; X 50.00=`' X 10:00.1 s{A, x 10.00 „_.,j.�' S V r: X 10.00'_' x 10.00/- X 16.00,'=.v. *1��.��ti6Y•, XSO.00.:d X100.00 X15.00et4 . .. _ .... .......... _ ,.., . . (. , .�.o.eit, ,... .,..-.. .,.. - . .:. , •. ,.... ...-..._...... v,.. .. , E, ..,.: - .: - . .'. I, ,,`,'s', ;1,,.... .., '. •. d;,:> .... ' .-�.:..+ :. r,. .-., air- _. . .c.. .._,... >.;. ,c..... ..-...e .� ✓ -.•e: .,.....,, 1:: - - ....�, ry �.,'A•+IJBa•.: K” M1.++- Yt„; ...v. ..v `v':4.,'a•u ', • .• 11:':,..c. . S tea,>:4t :aT ♦ ,Nv , .. . _ -,:.r •«,a:.... ... '_r .. ... -. .vrA�• v'i.,...a ,t. ,. v N v , n A. . ¢ w .-n. .... [ . re, -. .: a-. _...r .,... :,k`,,... ... .._ SUBTOTAL F: �.•'tet<'G6a,`: Ct$,;.;.-;t,�.(,a?. PLUS:, PROCESSING, FEE'„ %; 'T:; ±,$- ;; ,'25:00 .; EQUALS' TOTAL:PERMIT. f. ? :v:, i. ,.FEE DUE": iw:'j, 3'" =$ .. .3C-to- 4S(iokahe e6ufity 5I I t6ii of Buildings° West 1303 Broadway Avenue Spokahe "WA' 99260.(b69) 456'x;3675.