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1994, 11-03 Permit App: 94011005 Water Heater.avr-d ion Worksheet �D JOB STREET ADDRESS:. 13 6 ,`� 1c} -,i ce / 1 c_ 6-10-1,100') CITY/STATE/ZIP:__-.:L_22 f 'Z. * PARCEL NUMBER: OWNER: ON J E2 PHONE NUMBER: 92 7 -' ✓ 7 / MAILING ADDRESS: (Stre t) Dakps r6(i,Blit' ,► LICENSE CONTRACTOR.. PHONE MAILING ADDRESS: 370 E y2�c, (Street) MECHANICAL WCRX .ET/FEE SCH:.cDULE NUMBER X EACH OF UNITS UNIT x$10.00 = x 25.00 = x 10.00 x 12.00 = i. x = x 1.CC = x 12.00 = :c 20.00 = x 25.00 = x 35.00 = x 60.00 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = X 10.00 = x 10.00 = FTN. i x 50.00 = x100.00 = x100.00 = (City/State) (Zip) NL-MBER: exi SP f $3 'i SPok'-Aver Lt49 9r24, (City/State) DESCRIPTION DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER HEATING EQUIPMENT <100,000 ETU HEATING EQUIPMENT +100,000 BTU GAS PIPING (1 --4 OUTLETS) _ _ GAS PIRING (5 OR MORE. EACH:)._ _ REFRIG 1-100M BTU (NOT A/C OR HEAT REFRIG 101-500M BTU_ _ _ REFRIG 501-1,000M BTU_ REFRIG 1,001-1,750M BTU_ REFRIG +1,750M BTU _ _ ',� HEAT PUMP & AIF. CONDITIONER -C-3 T _ HEAT PUMP & AIR CONDITIONER 5-1f TCNS HEAT PUMP & AIR CONDITIONER HEAT PUMP & AIR CONDITIONER HEAT PUMP & AIR CONDITIONER VENTILATING FANS EVAPORATIVE COOLERS TYPE I HOOD (PER 12' TYPE II HOOD CLOTHES DRYER RANGE GAS LOG_ _ MISCELLANEOUS (NOT COVERED ELSEWHERE) UNLISTED GAS APPLIANCE <400,000 ETU_ UNLISTED GAS APPLIANCE >400,000 BTU_ USED APPLIANCE <400,000 BTU USED APPLIANCE >400,000 BTU AIR HANDLER <10,0.00 CFM AIR HANDLER >10,000 CFM 15-:C TONS 30-50 TONS +50 TONS OR 12' OF HJOD) 1x 15.00 = (Zip) = AMOUNT / o Z3b NOT SIGNATUR X39.00 SUBTOTAL PLUS: PROCESSING FEE EQUALS: TOTAL PERMIT FEE DUE + $ 25.00 Spokane County Department oi_Bullding and Saf e v A cc_4C7c