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1993, 06-08 Permit App: 93004489 Dryer
MECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: S /0 / CITY/STATE/ZIP: ide* OWNER: r/7,rrz PHONE NUMBER: yyy-as---78"// Z? -/5-77/5&1 - MAILING A DRESS: -DEeRPStAect t40 (Street) (City/State) (Zip) CONTRACTOR: /9a-'1- .-`-'2--dile_OLICENSE NUMBER: azi2i2-- P571/ /4 -/OS PHONE NUMBER: -Z7 9900c, (Zip) ct 3-qur icogo PARCEL NUMBER: MAILING ADDRESS: 849-X 700 DESCRIPTION (Street) MECHANICAL WORK ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) 00.00.02011:01-00 GAS WATER HEATER :.:.:MI.VergaVattaintraVilte GAS EQUIPMENT +100,000 BTU DUCTWORK) GAS " ss%' .74971111MINSAge:.,Mainta BOILEFIBiEFRIG 1-100M BTU 1.0tetaiger ar403410011MIPM2 BOILER/REFRIG 501-1,000M BTU BOILER/REFRIG +1,750M BTU IHKE97."-ftrantlEggatetagliejk HEAT PUMP & AIR CONDITIONER 3-15 TONS fignitratfLTAMIPRIPK0133) HEAT PUMP & AIR CONDITIONER 30-50 TONS ItarsawalrIVITLAITA VENTILATING FANS r"lireDICKM TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) • ...- ,• CLOTHES DRYER GAS LOG • • UNLISTED GAS APPLIANCE <400,000 BTU. USED APPLIANCE <400,000 BTU AIR HANDLER <10,000 Aifl •LR >j01000• • :•••••:*CFM: - NOTE: MINIMUM PERMIT FEE IS $35.00 (City/State) NUMBER OF UNITS X EACH UNIT = AMOUNT x10.00 = x 25.00 = x10.00 = x 12.00 = x 15.00 = x1.00 = x 12.00 = x 20.00 = x25.00 = x 35.00 = x 60.00 = x 12.00 = x20.00 = x 25.00 = x35.00 = t. x 60.00 = x10.00 in x10.00 = x50.00 = x10.00 = x 10.00 = x 10.00 = x10.00 = x10.00 = x 50.00 = i :1.. ::. x100.00 = x 50.00 = x100.00 = x 12.00 = x 15.00 = SUBTOTAL $ /400 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE =$ 35,00 SIGNATURE Spokane County Division of Buildings -a. A "%AIM k • 1‘ A • Ao.••••• •••• elosa.a.••••••••••• AIA OCIOAll ignaN AgR.21R7g