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1993, 02-08 Permit App: 93000699 Water Heater, PipingMECHANICAL PERMIT APPLICATION FORM Informs Worksheet JOB STREET ADDRESS: /4:: 75) © �/7 k '~ ' CITY/STATE/ZIP: --% "X9'r 4l4, ` 2/2 PARCEL NUMBER: OWNER: 6rend,A �nFie id 32 co MAILING ADDRESS: 5T mP_ PHONE NUMBER: 922 ' Z 72 1 (Street) CONTRACTOR: v! t-��� r, (Street) u.►.11 k j MAILING ADDRESS: E /lfO2. m�K� (Street) DESCRIPTION (City/State) (Zip) L LICENSE NUMBER: MALT T E P1 ! PHONE NUMBER: S'O9 - - Soo O -C-1 LS fir' Sao . L E)14tr F-zo 6 . (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) GAS WATER HEATER EQUIPMI NT 8101 ,000 STIP (INCLUD-S':..... GAS EQUIPMENT +100,000 BTU DUCTWORK) ................ BOILER/REFRIG 1-100M BTU SOIL /REPRLG_101-5O0M STU ...... BOILER/REFRIG 501-1,000M BTU SOIL.ER/n rnIG 1,0001-i,7SOM.BTL BOILER/REFRIG +1,750M BTU HEAT PUMP & AIR CONDITIONER 3-15 TONS HEA' PUMP AICONDITIONER 15S0TONS HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT PUMP C AIR CONI ITIONER +50 TONS VENTILATING FANS ;g1/:A. PpRA'1'IVgCOClL�pS.;::::;;;;: ...:..: : ..:....: :....::.:.. TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) CLOTHES DRYER GAS LOG MISCSLLAIV t' US (NOT COVERED PLSEWH1= UNLISTED GAS APPLIANCE <400,000 BTU ULINSTEID.GAS APPLIANc • 400,00) BTU USED APPLIANCE <400,000 BTU AIR HANDLER <10,000 CFM NOTE: MINIMUM PERMIT FEE IS $35.00 NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x25.00 a X10.00 = x 12.00 22 x 15.00 = x 1.00 = x 12.00 - x 20.00 = x25.00 = x35.00 = x 60.00 = x12.00 = x 20.00 = x25.00 - x 35.00 = x 60.00 = x 10.00 = x 10.00 = x 50.00 = x10.00 = X 10.00 = X10.00 = X 10.00 = x10.00 = X 50.00 = X100.00 = x 50.00 = x100.00 = x 12.00 = x 15.00 = /d -°c) 2 Z.00 SUBTOTAL $ /2,0C PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE - w Od Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675