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1989, 10-09 Permit App: 89003937 Mechanical FixturesMECHANICAL PERMIT APPLICATION FORM Informatio Worksheet JOB STREET ADDRESS: /11018/1 I�. krY CITY/STATE/ZIP:, GOA , / 9 Z I o2 PARCEL NUMBER: iz3-31 OWNER: f E-\/ e1 - PHONE NUMBER: 9 q `7 S-6 7 MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: /9CPP2I¢B11 214 )1 Ac LICENSE NUMBER: AFF -6 14 el % c1 C A h ( ,(PHONE NUMBER: J/ 96'7-- g 3 c T j MAILING ADDRESS: 1O `16 �11 1/�?� ' QcQ 1�., 1 iR- (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH OF UNITS UNIT = AMOUNT DESCRIPTION DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER HEATING EQUIPMENT <100,000 BTU HEATING EQUIPMENT +100,000 BTU GAS PIPING (1 - 4 OUTLETS) GAS PIING (5 OR MORE. EACH:) 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 HOOD) 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 x$10.00 = x 25.00 = x 10.00 = x 12.00 = x 15.00 = x 1.00 = 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= NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE SUBTOTAL PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane. WA 99260 (509) 456-3675 WP 1020 NOTICE OF UNSATISFACTORY CONDITIONS ON CUSTOMER'S PREMISES NOTICE TO act 00CC. gGe w.1,19 A FfVl <2_ OCCUPANT AT .a r:_M xt �! CITY S . e �i ket a. ���� THE FOLLOWING UNSATISFACTORY NDITIONS WERE OBSERVED TODAY AT THE ADDRESS SHOWN ABOVE C-�`� � ,4 ei ¢ c� No 5p, \ ( �w t -t c t„ ` 4-�.4 J 1c,A. (1014r IntAicfeCI © Ceoe\ )4 fowl., "kO be toC reeLt . IMPORTANT CORRECTIVE MEASURES SHOULD BE TAKEN IMMEDIATELY, TO PROPERLY CORRECT THE CONDITIONS, ENGAGE THE SERVICES OF AN INSTALLER OR DEALER OR REPLACE THE APPLIANCE. RGE. ROOM HTR. WTR. FURN. HTR. ABOVE APPL. LEFT: METER LEFT: ZFF DON 0 OFF 0 BY THE WASHINGTON W TER POWER COMPANY b DATE I. 2 - 6I TIME S " Os