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1993, 03-31 Permit App: 93002132 AC • #6906 3-31-93 MECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: 1020 N O'berLin CITY/STATE/ZIP: Spokane Wa 99206 PARCEL NUMBER: OWNER: Mr Dave Scott PHONE NUMBER: 97R-1r,R7 MAILING ADDRESS: same (Street) (City/State) (Zip) CONTRACTOR: STURM HEATING UCENSE NUMBER: STURMI*210 QF PHONE NUMBER: 325-4505 MAILING ADDRESS: 204 E. Indiana Spokane Wa 99207 • (Street).. (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = �,�m,vu,:,}•:::xn}v.}•:.v::::{:.,},yrrrrv.,wr.�- �:� '�".t. .�t .{r�4<' Q:. 4'+% '`7Y. Q€�CV '41t`.y' i 'I` �� �.a., :AVM;•.. . ,: x 25.00 = t,�,;c„•}:•.t4:,,ta.:,•..:W:,.h,.i.,�c"av,,,cV.,,v�.waaVt .4'N.:....:; ',X��� yv'• ,4• �.���r.���7� ; GAS WATER HEATER x 10.00 = aggrol*m.,a -t x12.00 = = GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = � ...F,.:.,:• _ :_ � :: >.• x 1.00 BOILER/REFRIG 1-100M BTU x 12.00 = :C # { ;; „I k. WVINI : x 20.00 BOILER/REFRIG_ _ _ 501-1,000M BTU x 25.00 = �} ^^M� ��-iiir�y �.«�ii/�c.�y�.�r /�• •"-:no• r< .v... .,4..:r.{r ,t•. 4 N l�fi7 f'R#'�:? { Q y0' 4 kig �• � ,,:<;: -:�' x 35.00 = BOILER/REFRIG +1,750M BTU x 60.00 = PMtt1TtYr x 12.00 = 12 _nn HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 = A 21 M1 A;.1l h,; ` I a kir e x 25.00 = HEAT PUMP&AIR CONDITIONER 30-50 TONS x 35.00 = N{�i:nr:x::::{x{ri4••vr•:trrx:-:4:•:�:x.;{n-r.•{�.v.;:%r�ryrxrrVv+4rfxrrrrr {fyr: .x{rr�{rxrxvrKnvny{{tN•fK:Yr:ri.:l . MEW 1Mf:> to R ONt ('):(3.[. :1: #�at3 TOC 0•'''`.:: •';1 x 60.00 = `�...v:::::.:.,.._:r:::.::,.:::r.,-::::::•..4::r:_:::::«. ,.:.,•.,..r.:::....,,.,..r..:,w.•.w:,. -•}....,r.•r,•«M..,.• c.4 ,.,.,,,,_ VENTILATING FANS x 10.00 = %kY4R TIMCNL <w �� N „ y x 10.00 = TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 = eot'':- ..3...',4♦x;-'Slar••<iy:',<.:::?•}t: ..4.,. r,.t-r. ,.c 4r.:, . ^:y.;IXnt4}i'-.:tAt{Y:....,`-}:.�:}:v.,.-:•r:-fir.: vfti.r = x 10.00 �h{4.M1,•.4•ht•:.vm,,,•.vxw.n..ti}Prevv:-..hVh,�tY?::',:}h, -0K��n�:h•~W'.W�Gt.fh•.{.,.^.C4:{,4rn-:,�<4CLYRiCi•ArF••C:%4):. CLOTHES DRYER x 10.00 = ¢v...vr.}:xK:y::r¢fnn{::.{' j }:`a��:�ri fir{-;.�+fti}yx�.}:{:r{; ::t :X54'{it:'-'l :([Cti{{-ifi:.;�ixvxvyy i.:�.kr_y At01111her } �nw;; ;t . SIS x10.00 = w. h-:..,.,.wr R�,...S:w.,.,.,:}hawt:;.,,v:}rw +Y'• •J:'.5c�.,...u....,•,,,a..:.: �c9` :4a GAS LOG x 10.00 = N[C `a 7► if ' deOretRS 4EIT .E : x 10.00 = UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = t1S . AS •, ,R.,w..wg, g,t: il $ vEy x100.00= USED APPLIANCE<400.,000 BTU x 50.00 = .:;s:{.r�r.;:�r{.y{<{:::.r::r:.v,,.::r:::,,{e.}y.;}:.}:<;t{:::4�:rrrk.:r:rN:::s,.,-._::� �5__ >:A3'��;(i�NCP :�-���<� :�r:>>.vc-::<tt}:�:::�;r,;t<::{:r�e�.��:.y.>:.. x100.00= .., .. r::}:::::.r�.:r.:..,.:.,,,,,.w.. :.,wrrr..,,-r:.:!,.rrM, ,,.:.,-::::.�.,,r<r::.,.}}::r ..w::r.,-}xa.,,.rr.,�,ss�,....;�-x- AIR HANDLER<10,000 CFM x 12.00 = AAMPItAl aQM Mr hawv $vw,iiw nn„WKxx 15.00 = SUBTOTAL c 12 . 00 PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS:TOTAL PERMIT FEE DUE = 37 . 00 SIGNATURE Spokane County Division of Buildings West 1303 Broadway Avenue Sookane. WA 99260 (509) 456-3675