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1992, 02-25 Permit App: 92001042 Water Heater _A5LAa- ` - 1D '` `(� ��G AECHANICAL 1?ERMIT APPLICATION FORM Information Worksheet • cta--I B Lia I JOB STREET ADDRESS: ` 13 It? $I• -10 150 CITY/STATE/ZIP: Strone. WA- PARCEL NUMBER: OWNER: i Trt ck- uh o wl es PHONE NUMBER: cd Ce D tl!7'a' MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: Ripley's. Plumbing,.,Inc LICENSE NUMBER: RIPLEPI107B6 PHONE NUMBER: 509-535-1919 MAILING ADDRESS: 4104 E Pratt Spokane, WA 99202 (Street) (City/State) (rip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = NOQD - ..----- �� :, . :... : v �� � w: Y;..� « xz • x 25.00 = GAS WATER HEATER / x 10.00 = / MigeffIlf4'VN' h$ ,t070.11,8-c: x 12.00 = GAS EQUIPMENT+100,000 BTU DUCTWORK)0 x 15.00 = GAS'PIPING(EA OUTLET) , ;:::' x 1.00 = • ::. ....vay.ry .v.x...•. ..v:..,,n ,vr...rn..W.3.V.k..w.-.._...w.�Jt:nviri•.Wvw.n.wvii<vnwniJCGtLitra<4Lmr1. .. BOILER/REFRIG 1-100M BTU x 12.00 O: 1 �. `U 'kf� x 20.00 = \:vi�rv.<r�y��L����O��.�Iy�P�WfiO�,vxi '.f\ r.'�.rl+'.r�'iS.v.�C:, .. �,.+�{!��i. � .. .. L BOILER/REFRIG 501-1,000M BTUx 25.00 _ = 8(311; 1=# �xx 6001 : ` bM 1 «_ _ x 35.00 =BOILER/REFRIG+1,750M BTU-10.4;.;:'.. 1, 4Yr ,' X.60.00 - APM STrrvr.:X :Sgirgrvr�vrR '. :1 f 7v4 s.. . x12.00 HEAT PUMP&AIR CONDITIONER 3-15 TONS , 3 x 20.00 = HEAD"PU.MP�&A;..0200.D O0ER 1 S r x 25.00 = HEAT PUMP&AIR CONDITIONER 30-50 TONS =" '" x 35.00 HEAT F'U.l t : 'AIR'CO;NQITIOI E~R+6b TQ 15 4yi < x 60.00 = VENTILATING FANS ,.. x � : x 10.00 :nYrrn,,:..::,:rrr•:rvr.}}'-,:},}}:h:.<:::Y'iifi�}+ :v':"�r.. r-rk.F..::$'ni?:<?:+f).:f??i�3. `:EVAPORA `� COOL£ < } } };x< .4 },;� }} ....._. = ...v..:.:.::_.,r,�..or i ..,:..,v....:rrr��.�s�cw.:.,..,r.,:.r.}...}� �•..x { `f+k:E�`aau�.; x 10.00 TYPE I HOOD(PER 12' OR 12' PTN.OF HOOD) x 50.00 = r�rn;;at'y }}}y,:n::::.w.Y�.rr? .S fhF rit<,:y.:: f., :.a••�! rk: TYPEIt:.1=100Q h :,.:,:.;r,:.y,::: ,s < ?� 3 = <,:?><:;r<.,:::�• { �. .�� <.'. f - x 10.00 'irA.,.:<•m'i.._. Nw:v1 ::Ki l+ri3. C:�.<rxvM1 �O�.r{:L fir' �., k +-�Su :?' CLOTHES DRYER "" x 10.00 = iLa3n0. yr`: N { �pfy 0e : GAS LOG x 10.00 = y .v yx qw fiiix C,Xr.. "s.^.... ? > �r4 �AS�`ii 8,, ` .. :<; I*R. 6 .'- -V , : ,. x 10.00 UNLISTED GAS APPUANCE<400.000 BTU • x . _ 50.00 = gnL te „ C6„ ,� h, X100.00= USED APPUANCE<400.000 BTU x 50.00 = f 4"� a'y�'p�� w� y'V"'r"' />if -r:t fxs � r � MM' .. e..�.:,tti+"45.'�y.L.'��1t E b'b',:4 4 4 t } 3�r/:fib S f:r: „ 2< /r�,�xt X1WW= .. AIR HANDLER<10,000 CFM ..`.t: • > >. ' _ X-12.00 x_12.00__ o '. AA1" 1 rlSS „ , x 15.00 = SUBTOTAL $ LO,OU PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE $35.00 EQUALS:TOTAL PERMIT FEE DUE =$ 3.500 • SIGNATURE /, ', 1 • >/ SpokaneCounty Division of Buildings West 1303 Broadway Avenue Sookana. WA 99260 (5091458-nA75