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1993, 03-30 Permit App: 93001898 Furnace
MECHANICAL PERMITAPPLICATION FORM Sbr C81 2> . information Worksheet ! l.3 / JOB STREET ADDRESS: r, ,Y�D,i� </! ,0-R-7/�99/2'Jtedy / `/3• �84e CITY/ST P:tiS flJk41y , t1lp- �J , 1 G{ PARCEL NUMBER: ¥5c1'/• 6203 OWNER: 016 . fro 1VYIPdler PHONE NUMB=R: 9a?% -904/ MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: Heat Transfer Inc. LICENSENUMBER: Heatti-1881n PHONE NUMBER: 482-2000 MAILING ADDRESS: N. 3003 Crestline Spokane, WA 99207 (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOODSTOVE/INSERT:: •-..: GAS WATER HEATER :GAS;EQiJIPv1ENT:c100,00013T1PINCt1DES:;:; ``:T::':: GAS EQUIPMENT +100,000 BTU DUCTWORK) 3,,S iri,NG. EA OUTLET BCILE=JREFRIG 1-100M BTU BOILER/REFAfGJO) 500M..STU.' BOILER/REFRIG 501-1,000M BTU .::.v.rv:.:::.::..vn...........n vnv...�.rvrvrv....v.:. �:.-xx...:. v:mrn....vx.::.v..: xn'pw,npwgip�:w 601LER/REFfllG1;000Y-1',750M'.BTU;';':;:'>:> _':'i';:> BOILER/REFRIG +1,750M BTU H EATPUMP: &' AIR:CONDITION ER [0-3TONS '`>'::r':'.Y% HEAT PUMP & AIR CONDITIONER 3-15 TONS HEAT. PUMP & AIR; CONDITIONER:1530 HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT PUMP &'AIR:CON DITION ER'+50_ :TONS;;; ;:, ` VENTILATING FANS :EVAPORATIVE:000LERS.:_i:..:.::.;'.'":'... TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) NUMBER OF UNITS X EACH UNIT =AMOUNT CLOTHES DRYER GAS LOG MISCEC€ ANEOUSS(NOrCOVERED ELSEWHEREFik.<'=. UNLISTED GAS APPLIANCE <400,000 BTU ' ;ULINSTED"GAS;APPfIANCE•>400;000_BTU`:: USED APPLIANCE <400,000 BTU H� L SEo;'APi'UANCE„ ;000 AIR HANDLER <10,000 CFM AIR:HANDLER:>10:000:CFM,.;,:'.:;<. ;:.:;'-::;":'::_;:.:;;,: x 10.00 = x 25.00 = x 10.00 = x 12.00 = x 15.00 = x 1.00 = x 12.00 = x 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 = x 50.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x 50.00 = x100.00 = x 50.00 = x100.00 = x 12.00 = x 15.00 = /?•Oe, NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE Spokane County Division of Buildings West 1026 Broadway Avenue Spokane, WA 99260 (509) 456-3675 SUBTOTAL PLUS: PROCESSING FEE $ 80 + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE .$ 00 .3 -As -9.3