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1993, 06-07 Permit App: 93004392 Mechanical FixturesMECI IANICAL PEUM! T' APPLICAI ION FOfiM Inlormat :in Worksheet JOB STREET ADDRESS: -� ' 1 . •/ S U%rr'� hOQ�\ CITY 1ST ATEIZIP: P G ICCank lir ggc?L)C- PARCEL NUMBER: /20 OWNER: Orrva.)C.-> n vne PHONE NUMBER: l `r MAILING ADDRESS: Sr)o,- (Street) CONTRACTOR: (a) MAILING ADDRESS: l -70.6Cn f/ (/0 ,"1 (Street) DESCRIPTION (City/State) LICENSE NUMBER:) PHONE NUMBER: (Clly/State) MECHANICAL WORKS! IEEt/FEE SCIIEDULE ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) > VOQD TI' VE/.I s rn < r GAS WATER HEATER AS g111pM NCLUDL, GAS EQUIPMENT +100,000 BTU DUCTWORK) 1 r BOILER/REFRIG 1--100M BTU B( j1E{ I EFI1 Q 10 j -50UM t • BOILR/REFRIG 501-i ,000M BTU BoIi.. p/ rnfr 0ci i : v0 v1 I BOILER/REFRIG +1,750M OTU Ht A " PUMP & AIM C 1[3IY LUN r:. NEAT PUMP & AIR CONDITIONER 3-15 TONS H Ar' pU, ir3 & I I(1 oN i i:1t7iJEH:i5.at),'1QN , HEAT PUMP & AIR CONDITIONER 30-50 TONS HEA'i Pur p&AIrQ NLI • VENTILATING FANS EV V TYPE I HOOD (PER 12' OR 12' PT -N OF HOOD) • CLOTHES DRYER I1ANGt GAS LOG ................................. UNl ISTED GAS APPLIANCE <400,000 BTU • USED APPLIANCE <400,000' B I U • • USED Aril IAt.ICE 40O,OoO.BI,I AIR HANDLER <10,000 CFM Alt's15.4' i 10,( 0:01x1-(' NOTE: MINIMUM PERMIT FEE IS $35.00 ' SIGNATURE (zip) lA7?` /o/C/,l NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x 25.00 x10.00 = , / /6.©0 / • x12.00 s x 15.00 = x 1.00 x 12.00 = x 20.00 e x25.00 d x35.00 e x60.00 t x 12.00= x 20.00 n x 25.00 n x 35.00 = x60.00, x10.00 x 10.00 to x 50.00 = x 10.00 x10.00 n x 10.00 = x 10.00 = x 10.00 lee x 50.00 tee x100.00 = x 50.00 = x100.00 = x 12.00 = x15.00 eel / ,3Q: l /Y 00, SUBTOTAL $a5oO PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE . _ $ 4(o d Spokane County Division of Buildings • :.West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675,