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1992, 10-27 Permit App: 92009329 Mechanical Fixturesc\,2_G329 �aTo6502 Zc�sj 10719-792- MEC1-CANICAL PERMIT APPLICATION FORM tnfaanatson Worksheet X08 STREETAODR£�SS' 818 S Park Rd Wa 9 9 212 PAR _ CEL NUMBER: = t CITYISTATE/7_iP: ( OWNER: Mr: and MRs. Fox - PHONE NUMBER: ( 509) 928-8138 : MAILING ADDRESS: 818 S Park Rd (Street) -St utim Heating, Inc CONTRACTOR' MAILING ADDRESS' E. 204 Indiana - (Street) (City/State) (City/State) (Gp) UCENSENUMBER: STURNI* 210 QF PHONE NUMBER: 325-4505 - Spokane WA. 99207 (Zip) MECHANICAL WORKSHEE i /FEE SCHEDULE DESCRIPTION - ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) OSX-OV GAS WATER HEATER • bet 458 • M ;l OL 'y,di✓�'p3"b'�' GAS EQUIPMENT +100.000 BTU OUC1WQRK) .•Q lAir • .;rektr.,fvoy'';3a:' BOILERIREFRIG 1-100M BTU BOILERIREFRIG 501-1,000M BTU BOILEWREFRIG 44 .750M BTU Flow. R{t✓O : DR -10 ER 0-3 1_0S, L . ;;< t -{EAT PUMP &AIR CONOLTIONER 3-15 TOt4S. 0 Ptd.. P' & AfRI.CONDIZ O Ef3x1750 F0 Sr.' t}»5 HEAT PUMP &AIR CONDITIONER 30-50 TOMS' EiAT. .IMP GONDMONE',+50 VENTILATING FANS TYPE( HOOD (PER 12` OR 12` PTN. OF HOOD) 7YPest1 HOO CLOTHES DRYER. • . Ay�SR`a"a�,z`':%E;?�%`�i{'Ys�="k.c-;;i,�jia"' GAS LOG - • UNLISTED GAS APPLIANCE <400,000 U1 U 1LIt�SPA`tCA`5;�32P.NCE;?t307000I8g� . USED APPLIANCE.<400.000 BTU ai.J'V( ill VsU l�il:L1y •`." `�" .'- -' _ /'_ _ _. F•' <. w..l^Tf3 i���•T`: <Y� !���' AIR HANDLER <10.000 CFM ' - - - �Rt}Hi�filt3L�R��p�40ti?CFMx"z"_:���3�=�='�� NOTE: MINIMUM PERMIT FEE IS S35.00 SIGNATURE__ NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = X25.00= x10.00 = x12.00 = x 15.00 = . - - - 1 12.-00 - 1 X1.00 = x12.00 =_ x 20.00 = -- x 25.00 = i=' x 35-00 = - x60.00== x 12-00 = x 20.00 = x 25.00 =- x 35.00 = x 60.00 = x 10.00 = x•10-00 = x 50.00 = x10.00 = X 10.00 = x 10.00• x10.00 = x10.00 :-='' x 50.00 = x100.00 = x 50.00 = _ x100.00 =-.- x.12_00 = x 15.00 = 1.00 - _ - • ' - - - - • . - -' - - . SUBTOTAL S 13.00 - PLUS: PROCESSING FEE . ' -4- S 25.00' EQUALS: TOTAL PERMIT FEE- DUE =S 38.00 •