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1993, 01-15 Permit App: 93000219 Mechanical Fixtures y� MECHANICAL PERMIT APPLICATION FORM q 3 —�C 7 Information Worksheet il j� Il•eV �(J JOB STREET ADDRESS: -I ( ' N V . I� CITY/STATE/ZIP: Oki, M1�' I1 PARCEL NUMBER: • OWNER: _1 aln • x/1\ti h rX PHONE NUMBER: • MAIUNG ADDRESS: I - • ' (Street) (City/State) (Zip) • CONTRACTOR: Aqua Mechanical UCENSENUMBER: AQUAMAR17aQG- PHONE NUMBER: 487-0103 • • MAIUNG ADDRESS:• 2407 E. Euclid Spokane, WA 99207 - • (Street) • (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE • NUMBER X.EACH ' DESCRIPTION OF UNITS - , UNIT a AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x.10.00 = . • • • • • i'���� ^v e: . t.- x 25.00 = i.: >, • GAS WATER HEATER1 x 10.00/ = •,' 10 00 _ ^�•yyy-- (t , 1 1 Y>i ','7?'ll _ �� -' x•1'.00 - • :.• • ,••• • • GAS EQUIPMENT+100,000 BTU DUCTWORK) :x;15.00•= •• :. '„Y-`1I11 10.,"&. l � -r'4. ,; . M • •X 1.00 _ 1',,..0,' :lits' • BOILER/REFRIG•1-100M BTU :• • x12.00 'a `-:: M.:t -,i G1 : :q ff.f� 8 _4gei6ii. i _ - X 20.00 iii ..: .. ,.*--'-'• '4 j;M BOILER/REFRIG 501.- ,000M:BTU :x25.00 cs. - • •r• •• if,,;,r ..tT lCT ' ,, ,z);.i .'.%1,e161. .,; • x.35.00.=• ;12....:-.,:,, • -" BOILER/REFRIG+1,750M BTU . X:60.00 = i;::-..;.:. o,S: `£ i ` .)'. .0f' s '� ,:t < t� *�1v x•.12W :- �. HEAT PUMP&AIR CON -15 TONS YDMONER.3 :Xx 20'..0/0.a•-• `.�4 _.:•' . `: ' HEAT PUMP.&AIR CONDITIONER 30-50 TONSY43540= • : }:..-::.'.:• . -4. 'F°' 1` f,'3).. e ^jt -6.i\P)Fi"`� lF. ',"' .7R:a.1;: " -, •-x 60.00 lu) ..• ,'.e:+..t „$.• .. VENTILATING FANS • x10.00 =- • .' : • • ... :x 10.00• '= ..:,,i. ., .•fj�'•� f. TYPE I HOOD(PER 12. OR 12' PTN.OPHOOD) • .x;50.00 a •• ` ,' xz. Y . • X 10.00 •=•- q;.•, CLOTHES DRYER • . . x10.00•a. :. ; _,.: r lAR • .x10:00 .1:1. • , •..-•:,..,..-;',.-..i:--4,•-... •• .• GAS LOG•`--• x 10.00 s # . ',1, x.....67 s ,V,. . ' b :;( �, F. �. ,,. E 1:',. -x 1.0.00•_ . . . ' ' ' UNUSTED GAS APPUANCE<400,000 BTU - x 50.00 = .• tt:I E:.16x gl% ';f ( -,'if''\M.2 :' fx100.00= - ' - USED APPUANCE<400,000 BTU • . x 50.00 = • - • ciJ r -~ •'� ��fi sa. �` ��B 8 3 4 ��,.:pw xi = • AIR HANDLER<10,000 CFM • x 12.00 _ - : _ . •• IAMB e .a x 15.00 = • SUBTOTAL $ 1 (30 PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS:TOTAL PERMIT . • FEE DUE =$ ,W SIGNATUR Spokane County Division of Buildings ' West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675