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1993, 01-27 Permit App: 93000389 Water Heater, PipingMECHANICAL PERMIT APP-LICATION FORM Information Worksheet JOB STREET ADDRESS: 14124 East Olympic CITY/STATE/ZIP: Spokane, Wa. 99216 PARCEL NUMBER; OWNER: John Turnley PHONE NUMBER:q22-1274 MAILING ADDRESS: 14124 East Olympic Spy loans 12a _ 99216 (Street) (City/State) (Zip) CONTRACTOR: River City ShPatmPtal LICENSE NUMBER: riveres-11013D PHONE NUMBER: 483-9455 MAILING ADDRESS: East 1520 Houston Spokane, [ala. 99207 (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION I OF UNITS ITNIT = AMOUNT DUCTWORK SYSTEM_ WOODSTOVE/INSERT _ _ _ _ _ _ _ _ _ GAS WATER HEATER____________ HEATING EQUIPMENT <100,000 BTU _ _ _ HEATING EQUIPMENT +100,000 BTU _ _ _ _ _ GAS PIPING (EA OUTLET) _ _ _ _ _ _ _ _ _ REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) REFRIG 101-500M BTU_ _ _ _ _ _ _ _ _ _ REFRIG 501-1,000M BTU -- _ _ _ _ _ _ _ _ REFRIG 1,001-1,750M BTU_ _ _ _ _ _ _ _ REFRIG +1,750M BTU _ _ _ _ _ _ _ _ _ _ _ HEAT PUMP & AIR CONDITIONER 0-3 TONS HEAT PUMP & AIR CONDITIONER 3-15 TONS _ HEAT PUMP & AIR CONDITIONER 15-30 TONS _ HEAT PUMP & AIR CONDITIONER 30-50 TONS _ HEAT PUMP & AIR CONDITIONER +50 TONS VENTILATING FANS EVAPORATIVE COOLERS_ _ TYPE I HOOD (PER 12' OR_ 12_'-PTN__ _. OF_ HOO__D) TYPE II HOOD - - - - - - - - - - - - - - CLOTHES DRYER - - - - - - - - - - - - - - RANGE _ GAS LOG_-_-_-_-_-_-_-_-_--_ _-_-_-_-_-_- MISCELLANEOUS (NOT COVERED ELSEWHERE)_ _ UNLISTED GAS APPLIANCE <400,000 BTU_ UNLISTED GAS APPLIANCE >400,000 BTU_ USED APPLIANCE <400,000 BTU _ _ - - _ _ USED APPLIANCE >400,000 BTU- - - - - - - - AIR HANDLER <10,000 CFM _ _ - _ _ _ _ _ AIR HANDLER >10,000 CFM _ - _ _ _ _ SUBTOTAL 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. OC = 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 = 10.00 1.00 $ 11.00 PLUS: PROCESSING FEES+ $ 25.00 EQUALS : TOTAL PERMIT 36.00 NOTE: �MIINrIIM-UM PERMIT FEE IS $35.00 FEE DUE _ $ SIGNATURE Spokane County Department of Building and Safettyy West 1303 Broadway Avenue Spokane, WA 9260 (5Q9) 456-3675