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1991, 11-22 Permit App: 91008139 Furnace, PipingMECHANICAL PERMIT APPLICATION FORM Information Worksheet p isc)6.ec.E PARCEL NUMBER: a- / 5 T - ( ay PHONE NUMBER: 9ZZ -714 r JOB STREET ADDRESS: 2_ / CITY/STATE/ZIP: •-,S- -� OWNER: MAILING ADDRESS: CONTRACTOR: MAILING ADDRESS: CT 2- 4 (Street) DESCRIPTION (Stfeet) 471-4-c- (City/State)(Zip) LICENSE NUMBER:A/cN E#4/4) Ali LLQI PHONE MUMBER: .��...{ CdadL 9q'az) Z ity/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) _ .:fz:•'Sw';.-'_:9�_,�y,yc;'{:f'�,f,•'..-?.-Y,C,.l,'.-',ka"�{-.yiw, • GAS WATER HEATER • GAS EQUIPMENT +100,000 BTU DUCTWORK) BOILER/REFRIG 1-100M BTU 6E I f:B. 01_` M i _Th BOILER/REFRIG 501-1 ,000M BTU wR i B. BOILER/REFRIG +1 ,750M BTU ;;r:t':K?u.;\w. v.:.Y} :441146#14•10:0:0014 �'8i.'a�J�i {w:v HEAT PUMP & AIR CONDITIONER 3-15 TONS ....:v---•-••••-••: vvvn••vvx-••-••-•••-u •--••vvvvvh•: ••••. x+••v-R+•frhLxi:�r`-: •�•vKhhvnv •vx •. HEAT PUMP & AIR CONDITIONER 30-50 TONS { :,:S: t.•.?f?:Ti'�:-T)•: ':{:':C _ ., : . rfuv vvh:Orv.M.vnv.�.vvh•.:.•.',..ve:r.x: r..nw?in ri{-i-:r:-.••••-..•-:• .n.u:v.evY h'ti:4:w]�vdj}•-?' <•�:+,�yx {v?:.'{u.•}{; VENTILATING FANS {.:•.:,}• f .,, :::.r: yr{.r.,. w..,y.,�ro:-rw.,,.;sr::..r{r::�.::rF`•c:}f.;;:Yi:i°'�.x^^:•• �x<{rr ..,.�..•:7:nr,;;i�x.��',.;�. •w,ori�i9a:{£_>i_%�j,., .}.`} • c'rrx"•`. TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) +nv:q,r.Y. ?}i:'Syry}i'y ��'i':'?v: • .A<i4.•::, • 'sem w•♦ y.: •. ♦ '.:{•ice �•:: •:s`: tiv�:i{. .F•: �, ��+�c:C♦y�(���7:��:►��Fyt�.�z+iC.sc:}'•qY•}x}_}::.�r{:::•:{:.Y/f`.5:� .•s. :/ .o•�.:4+..:}.'::,:x: ::1R? 1?-1:1.�I..N-X•i::h{:i: -v' :.ii:G::{+': h, .:..t..' "{ Lx:.. -.3 } •t �:{•G:ih`!GL.; •:'it {: • .y„... 4.. ,{. wry •:.,:-: •--:'-::::::...: ,.f.f ..., . {c{r:1-•.'a::::: : CLOTHES DRYER ::.yyc•::r..•:;r::r;v:`,•:x�•:::}'�<f{.J'S;:%`?�•,{{;::.i::i{::{:.:;ti R..a•::x: '::+:r�auy^;.•'•;-::f;�a`�:i':%�--'--?r?r:*:.c,� •�;•'i,9;a�G .v iM. uh '•w 4,C: +4„ Y ' .L6}Nefi",.r- -' ahfi.`«.9'..- - •,`.," }. ,`r13 }rws*:}' ..�..a.:a<:�"..r�.✓. ,}.•:.,�:. }wr..a.,rlc�... 'a.a...t..f::::rr.:.:hfibLS{A{�EN$:,{tid.S.:?. :•{•,•� GAS LOG MIS E (NOT O ER W UNUSTED GAS APPLIANCE <400,000 BTU USED APPUANCE <400,000 BTU AIR HANDLER <10,000 CFM NOTE: MINIMUM PERMIT FEE IS $35.00 SI 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 = x25.00 = x35.00 = 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 = x10:00 =-------- x 10.00 = x 10.00 = x50.00 = x100.00 = x 50.00 = x100.00 = x12.00 = x 15.00 = ,/ As-. a 0 / 1. 0 0 _x SUBTOTAL $ j PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ Z.14. DV Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675