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1993, 05-03 Permit App: 93003141 Water HeaterJOB STREET ADDRESS: CITY/STATE/ZIP: 5,144r &)6 -2 OWNER: J -Z_ , � 5 MECHANICAL PERMIT APPLICATION FORM Information Worksheet n L. 3 PARCEL NUMBER. PHONE NUMBER: 2e, � MAILING ADDRESS: CONTRACTOR: ��"�'� A L�; /' MAILING ADDRESS' S IL); s r G'e (Street) (City/State) ric� bv2I/ -'es(Street) DESCRIPTION "`t LICENSE NUMBER: + LA het PHONE NUMBER: ? �'-/ 9 SIPC414/1( A/1'4 (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) nG•ry/ • '' i ••{:Yi,'s}''i{'' •}4}`;'v^.`, f; ..:im �>Y GAS WATER HEATER a :::r..•Y::.a•:.wr:Y • GAS EQUIPMENT +100,000 BTU DUCTWORK) v•::.•F. Y BOILER/REFRIG 1-100M BTU BOILER/REFRIG 501-1,000M BTU 4Ww{�:::x::.yf }moi( C:}:. "7?:: ••} J 41y�[5vv�t Yet ,�rY.•% BOILER/REFRIG +1,750M BTU Saws' r<..<•.aA4:Citi`•.d'?4I;� 4:v•4.�o#X,:;w`,:::oc10i08:4.`aua".wxa,c 0r}2 : >..: ..:.1.,.. HEAT PUMP & AIR CONDITIONER 3-15 TONS „x}:, }•.. ♦,:,y�/�♦.:j[:�.Tj:*`}:^^ to {, Y},}ay��y;�"yy+?+�y:n?::W_}^]n`�•'•... $l{}� 7wC,.:{x :v:.1G:Ktk' ••' {` ..} ,'•••`}•`-`,.n,,,ffi �:6• , :' N '•�h( :.::t "..7 'ih HEAT PUMP & AIR CONDITIONER 30-50 TONS • ,mkt. Arcipttyn„ •k:$.V.v::iF' vF.•iv2hw}.{4.4:.•.{vH.vi•v:}k•: 7 +A:{•Y•.Y.-:2N:vA VENTILATING FANS Imo:: • : •n.,•.i..•:.,ivoM TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) .}:4}.4nvvnYniJ.tv.•.x{vrii4}"i:A\r% v'iKvStf li:�:•:{•%.. % CLOTHES DRYER r:{.w.wv:.}.. •'p{;::`.,{}•,.•{' :>...,.C}<,:�Y.,:'t* 's ti �'. . $, •iqi�{y{. :}•{wN,•.a'r�.wSiCa:;aa'�s}Y}:`'a2}a� .^. GAS LOG UNLISTED GAS APPLIANCE <400,000 BTU t •y:.}; :.4.,,v,.,, ,„}:•:.yn. {�,Y 4 v{.w.:v.++} • ,},},`••+Y4@ �'.�d R�`TKAM{ w: :v.•:{w.v A$'rx.•::•ki•:id:•::v.•}''w•r�bw•nvii�wW::vi}h•"•1:v'r.•:v:{}•.:4::.�hi•:i:{i�A.+6C•iivY ''• USED APPLIANCE <400,000 BTU ::Y•r{y..:•-•::y.•;::4:}}•ay:{:.•::.;y •f:{,:{„{{,,...,.•.�r:.{y,,:.v, t i{: ;r ::.t:{•{• f#{.: `::.f2k,•':;,V{,% A# ! ,f1� 1G1�•t1t ,�A�+ 'f'# �` }'° {> ..s�4 ' >.5:i AIR HANDLER <10,000 CFM ��r. ..;:.,N;.f•.w .;:;hy: py...r�..y.}:i;,"{'.,x.:::/r�n^.}>,}•+•.wn•�•.,...;}••}•`�?:,;<•}Y'":'•%•`•,:?s:•.'•`•u7.*{`,is`•M1,+.',,},:`.•':;?s!j.};2 !l f������l,�i V.��4,I�IF%'.S•.'•'h•S:':k•�Y'w•.•`•'.•}'�:�Xff•'.'•jh•�'.'��.:..•:. �•'�+..}s'`.J�'. ;.r�a�?k: ix { NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE NUMBER OF UNITS X EACH UNIT = AMOUNT 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 = x60.00 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 10.00 = x 10.00 = x50.00 = 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 = j SUBTOTAL $ PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE _ $ Spokane County Division of Buildings