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1991, 10-03 Permit App: 91006475 Furnace, Piping
M CN.AN1CAL PFrtMIT APPLICATION FORM Inforth ttlert Worksheet JOB STREET ADDRESS•= r.Th#357- z.71 0 1 9 Y''l R- t2 /'� (075 CITY/STATE/ZIP:T -0Z4JO . PARCEL NUMBER: 2.Ogig • /30 OWNER: /eoe Y etd-110PHONE NUMBER: MAILING ADDRESS: CONTRACTOR: 9LZ 'Igo (Street) llanner Diirniro & Viie1 &LICENSE NUMBER: BANNEPI 378NT (City/State) CONTACT: 1WSS LUNDE MAILING ADDRESS: P.O. Box 4346 (Street) DESCRIPTION 9 (Zip) PHONE NUMBER: 535-1711 Spokane, WA. 9202 (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE ELECTRIC/DUCTWORK (SEPARATE SYSTEMS W DSTOVt/It4SER GAS WATER HEATER GAS` OU!)PME it o0,00C1 f .. .......... GAS EQUIPMENT +100,000 BTU DUCTWORK) GAS PIPING (EA OUTLE BOILER/REFRIG 1-100M BTU SOILE/EPila ..:....... BOILER/REFRIG 501-1,000M I3TU BOILER/REFRIG +1 ,750M BTU HEAT PUP & AIR CONDiTI0. HEAT PUMP & AIR CONDITIONER HEAT PUMP &All CONDf IC1i Ei HEAT PUMP & AIR CONDITIONER HEAT PUMP & AIR CO:NbITl VENTILATING FANS EVAP ATIVE`COOLE 3 TONS 3-15 TONS 30 :TOIL 30-50 TONS TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) CLOTHES DRYER RA TGE X .:.. GAS LOG MISCEL(11RIEOS (f+ UNLISTED GAS APPLIANC ULINSTEb GAS APELIA USED APPLIANCE <400,000 USED APPLIANCE%•b} : AIR HANDLER <10,000 CFM AIR HANE LER>>1";6-66:0 NOTE: MINIMUM PERMIT PEE IS $35.00 (Zip) NUMBER e'F UNITS X EACH UNIT = AMOUNT x10.00 = x25.00- x 10.00 x12.00 = x15.00 x 1.00 = x 12.00 x 20.00 = x25.00 x 35.00 x 60.00 = x12.00 =. x20.00 x 25.00 = x 35.00 x 60.00 = x10.00 = x 10.00 = x 50.00 = x10.00 = x10.00 x10.00 x 10.00 = X 10.00 = x 50.00 - x100.00 x 50.00 x100.00 x12.00= x 15.00 ,.,.. / =. / /_ �,. �...; ... SUBTOTAL $ /.. o J PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT . FEE DUE =$ 3d'�oo SIGNATURE Spokane Couti b vition of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675