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1993, 09-03 Permit App: 93007834 Mechanical Fixtures 518 . 1 y 7g�4 MECHANICAL PERMIT,APPLICATION FORM vC Ad/et -rLL Information Worksheet JOB STREET ADDRESS: N S pa„ CITY/STATE/ZIP: c f..s�ll 4 ] 14>a 9y j/ `_ PARCEL NUMBER: OWNER: �.-tiy .�,rr4PHONE NUMBER: MAILING ADDRESS: (Street) . (City/State) (Zip) CONTRACTOR: A) 6--1--c-c, �.s�, t LICENSE NUMBER:J/C © � A (J 7 4 I / / PHONE NUMBER: -- MAILING ADDRESS: • .- .. . S/ 4.-,va 1{)-41,_ (Street) (City/Stat (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) I x 10.00 = WO ST VE1'(lalgekri x 25.00 = _ GAS WATER HEATER / x 10.00 = in no A IPMENT a t00 00O 8TU(INCLU ES ...:.:. / x 12.00 = 0 GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = x 1.00 = ('i(s BOILER/REFRIG 1-100M BTU x 12.00 = x 20.00 = BOILER/REFRIG 501-1,000M BTU x 25.00 = BOILR1 EFRIG 1«t 60.4J 0M El"f1.. . x 35.00 = BOILER/REFRIG +1,750M BTU x 60.00 = HEAT PUMP'&AIR CONDITIONER TONS _ x 12.00 = _ HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 = HEA 'PUMP&AIR CONDITIONER 1 S...$0TON .. ..... x 25.00 = HEAT PUMP&AIR CONDITIONER 30-50 TONS x 35.00 = N 1 PU 9P, Ate CONDITIONER,+50 TANS...: x 60.00 = VENTILATING FANS x 10.00 = EVAPO ATIV>=COOL I S.... x 10.00 = TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 = TYPE II HOOt3:... <' x 10.00 = . CLOTHES DRYER x 10.00 = RANGE x10.00 = GAS LOG x 10.00 = MISCE LANEOUS(NO?T O VE ED ELSEWHERE; x 10.00 = UNLISTED GAS APPLIANCE<400,000 BTU x 50.o0 = ULINSTED GAS APPLIANCE X400,000 BTU:. x100.00= USED APPLIANCE<400,000 BTU x 50.00 = USED p tiANCE 1000 TU x100.00 = AIR HANDLER<10,000 CFM x 12.00 = AIR HAIVO ER> ►,000 CFM x 15.00 = SUBTOTAL $ JI/.'IO PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT FEE DUE 1 - $ /- et) SIGNATURE � u_ 70/ Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 1\-)CrCOF-1 A el COL:1: ...----- ! 3> 7 i ".1 _ . -1 • ...--...\ ..- ie. r-DETACH 70 DISPLAY CERTIMATE-1 .4 ' A . 4 -37-7-;7,77.------------..--..-,. -.:-..-tts:z.„..,,,,,,,t.m...,, ....:,,,,tr..- -z-,:..-..z.-;::;-,:-.,..,:t.,„___..„....--;-_ __.......____.........,...uu...A.,.....•Lai4*-,tli 1 'W ::• .' .: 0 i '.. DEPARTMENT OF LABOR AND INDUSTRIES .: . :.., . 114LS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A ;T. . . . ilf.1..F.C: A.L. 71 4. ' .7.-:.;- •' - REGISTRA7ICN N'JMBER 1 Exmlom aarE• 1 % 7 ; . _E ...,1 s:.• k..... its ir a-1 06/21195; STATE OF WASHINGTON 4 I: • ::. '.. ...,.:,... • • 4 f'; • • % 4NORCC MEA.1:! :i 4 Ar7, CON) INC il •;1-. . .1.: . 45103 E TRENT SPO4AN=.: • 4A ; 2121351 4 . - ,. co ;1-.--. i i 4>f. F625-052-XX:(19g. fl :.. . (0 (13 cz 1_DUCH TO DeSPIAv CaiTIFIDAT _t •_. , __._ - _ _ __.__,._. - - ez 03 , 1 \ ' IV • ' 1 ' i • I , . • f .• • od • C . ts3 . ;