1991, 09-23 Permit App: 91006170 AC MEd1-1ANICAL PEttMitAPPLickrioN FORIVI
Intorri`tlif10 Worksheet '�J�-( '/77
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J• = - BEET ADDRESS: ,,*�h �; �� ��"�,t�-� '. ,.:
.TE/ZIP: '..., .. : 95'2/!a ; PARCEL NUMBER:. 177,511/ -- 1,005
OWNER: Co N rP I ft W ! a0 c ER-, , sf,i -4;FHONE NUMBER: ?,4-.-4- .9 y r1
MAILING ADDRESS: J r4)- r'^- ..i
(Street) -;,'J-'-',,', ( ity/State) (Zip)
CONTRACTOR: 1#antitst 1'u -nAc & Friel-0: Itte :IDENSE NUMBER: BA NEDP' 70NT _
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CONTACT: RUSS LUN1)F: ",.'.:PHONE NUMBER: 535. 1711 , '
MAILING ADDRESS: Pa0a. Boit 4346 ' Spokane, WA. 9 202
(Street) •. (City/State) (Zip)
MECHANICAL WORKSHEET/PEE SCHEDULE
NUMBER X EACH
DESCRIPTION I UNITS UNIT =AMOUNT
�ELECTR,IIC�/DUCTWOR� �K(SEPARATE SYSTEMS) x 10.00 1
...�:.. - - -- ::;:.. .\.Ar `Ry.r. 5:..:t. "Yv:: ......... .+1 ,,;i..:.v...... 25.00 -;=-' .. x . .....
GAS WATER HEATED4 x 10.00 =
GASI . ....: ,(0;0 �T��`ir 100.E :... : >, x 12.00 = ,
GAS OUIPMEN t+100,000 ETh DUCTWORK) ',-,,,--4:,,,...-: -,,-;1::W; . r x 15.00 =
GAS ti IG (EAOUT(E'r")` :x' '{{ .;':.... .. i.k F :: ,. : it 1.00
BOILER/REI=RIG 1--100M BTU i, x 12.00 _
1101t4 ` It . s0 t00 £ x 20.00 =
BOILER/t EP'Rid 501 1,000M ilTU i , s , x 25.00 = ,
004. #Ti 111i0. i)001.Ci 4 "' 'u r x 35.00 _
BOIl.SF1/RSPRIG +1 /50M btu x 60.00
HEA III &AIS c5 ljt ''Ieittr0' `CONS `., ';• . ! x 12.00 = I z-o
HEAT PUMP &AIR CONbii1ONER$-15 TONS x 20.00 =
HEAL I ?MP A l Il C'I.bI `rt5Ntrt 't 30 TONS:;. : fi> ,.,..LL x 25.0o '
HEAT PUMP &AIR CONDITICNNR 301-50 TONS x 35.00 =
ILi At iliti illli + o4 '1 s. 6 PONS`... ..,.•44 - . .' x 50.00 =
VENTILATING FANS x 10.00 =
EVAF s #A lec 30LEr#f t* ^.'"4.:.;; ;1.; x 10.00
TYPE I HOOD(PER 12' OFA 12' PTN OP HOOD) x 50.00
TYPE 11 FfOOC1 f. _ Ifl `; {: .. �"`` " �.` x 10.00 i.
CLOTHES DRYER x 10.00 =
MANGE -
� �.. x 10.00
GAS LOG y � ,. ,. x10.00 =
MisdtLLANtOU (N ,.... 1 L9EWHEf#t: x ,� >_. x 10.00 �=
UNLISTED GAS APPLIANCE,e406,660 BTU `: x 50.00
ULI4ST. SAS APPLiAit;# 40O,OC)0 BCU: x100.00
USED APPLIANCE<400,000 ETU
x50.00
USED APPLIANOE>40O;t)t t tf:.. :...; ,'., x100.00
AIR HANDLER <10,000 CFM x 12.00
MR HANDL'Ei 10,000 + PIlIl.S A d r {, R
L x1500
SUE OTAL
PLUS: PROCESSING PEE +$ , 25.00
NOTE: 'MINIMUM PERMIT tEE IS$35.00 EQUALS: TOTAL PERMIT
kms FEE DUE - 3 7. my
SIGNATURE '''''' '' YA ' cr4
Spokane CeitifiI b inion of t3uiIdings
West i 801 Broadway Avenue'SrJOlane, WA 99260 (809) 456-3675