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1994, 11-21 Permit App: 94011617 Water Heater ( 7 Irforiatior. Worksheet ,:,� , OB STREET ADDRESS: 3 ( 6 I5 3-/./f'(do-i r4 CITY/STATE/ZIP: OM- _ PARCEL Pr!E= .�� ----�_ ' file / V4 `� PHONE NJMER;-- �z� 9'7 MAILING ADDRESS:_____L2/1 '49-cl ''92-- d4/1.- ---- ---- - d4/L� ,(Stre t) -(City/State' ( a/6W S re, 1/411f�/416 (zip) CONTRACTOR: LICENSE 147.7113F.R: O /G J SP /g3 Pi , PHONE tvUM_.ER:- �` o © 2// �� - Y_ AJ%JkMAILING ADDRESS: / 37 / (Street) ---..,s�i_. ! �.2�,�i (City/State) (Zip) IMENINNIMmimignimmalINIMINIZINEWININNININIIMuniallalill MECHANICAL WORKSHEET/FEE SCHE:;Z_E DESCRIPTION NJMBER I X EACH I _ I DUCTWORK SYSTEM ' ! — WGGDSTO i - x''. ' = � I VE/INSERT ._/-4. I GAS WATER HEATER .Art �17r,`f- - x 2 . 0 � Ix �: . c = _I HEATING EQUIPMENT-<3.-00,7500 ET': _ _ _ � `� .� HEATING EQUIPMENT +100, 000 ECJ _ - - — x ` . CO —_-- PIPING (1 - -4 OUTLETS) _ _ ` - -` -i x �; cc -=- GAS 1 -----------i GAS PIING (5 OR MORE. EACH: )_ _ _ _ I x -=I i REFRIG 1-100M BTU (NOT A/C CR HEAT F?:'.p) i _! REFRIG 101-500M BTU Ix 2 . CC„ -- - -I ix . CC � REFRIG 501-1, 000M BTU 1 ---------l_. _ _ -- _ _ _ _ _ x 2 iCc . C ` I-�.�_! REFRIG 1, 001-1,750M BTU - REFRIG +1,750M BTU x ?- . C_, _ �-' ` X �O. 00 =���`-� HEAT PUMP & AIR CONDITIONER 0-3 TONS x 12 . CC HEAT PUMP & AIR CONDITIONER 3-15 TONS - _ ' I v HEAT PUMP & AIR CONDITIONER 15-20 TONS _- x 2 5 . 0 •=1----------1I HEAT PUMP & AIR CONDITIONER 30-50 TONS I x `5 ' 00 = HEAT PUMP & AIR CONDITIONER +50 TONS - Ix 35 . CC = VENTILATING FANS - - _ _._ x 6-: . cc =I + II� EVAPORATIVE COOLERS - - - - x 10 . 00 = -I TYPE I HOOD (PER 12 ' OR 12 ' FIN. OF })0D) ' k 10 . 0 .c `! i HOOD - - - -- - - - _ - x 10. 0(: =}��� TYPE II CLOTHES _ I RAN GAS LOG - _ -- - - _ - - - ' x 2ix n . C c ,---i 1 �1 MISCELLANEOUS (NOT COVERED ELSEWHERE)_ _ UNLISTED GAS APPLIANCE <400, 000 BTU i )x,c 1.:10): !(.0 =H- --- UNLISTED GAS APPLIANCE -40G000 BT?' _ - 'i-- I USED - - - i x;00 . 0 - APPLIANCE <40O 000 BTU -i 0 . _I USED APPLIANCE >400,000 BTU _ _ _ __ _ _,_._, x EC. : _ �-` �-'- I AIR HANDLER <10, 040 CFM x,C . C0 AIR HANDLER >10, 000 CFM x 122 . CC = x 15. 0 =; I SUBTOTAL 1 -7-77F-- _SdT- PLUS: PROCESSING FEE + $ 25 . 00 I -_-A4 EQUALS: TOTAL PERMIT NOTE: KI .`� 1 - --A4 L - : 3-5-.00 FEE DUE = $ 34 ---&-J SIGNATURE it/...Y AA w �Snokane County Department of Building-and Safety ' -_s.r.._,_ ._--