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1992, 07-29 Permit App: 92005827 Gas Log, Piping
LAS ` MECHANICAL PERMIT APPLICATION FORM rInformation orksheet (04C1(04C1a) JOB STREET ADDRESS: E �i 570 71-0 CITY/STATE/ZIP: ,c p0 roy4, Loa. q '- OWNER: C P C i I S4' PHONE NUMBER: 0.2 % PARCEL NUMBER: MAILING ADDRESS: 5� (Street) (City/State) _ - (Zip) CONTRACTOR: f hF I Cli & 4 rebc.i,J CF,i.I f Fv? LICENSE NUMBER: FI4 !C O GC.- I -73 b LA PHONE NUMBER: (5Oq) Qi.2to-e91 i MAILING ADDRESS: E • q ► 0 Spot: AAJLJ G3 992o(, (City/State) (Zip) (Street) MECHANICAL WOR DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) GAS WATER HEATER GAS EQUIPMENT +100,000 BTU DUCTWORK) B_OIR/R LEEFRIG 1-100M BTU itgirgargrbAgarWal BOILER/REFRIG :wn tT}�}' 5_01-1,000M BTU lyik 00:1 . BOILER/REFRIG +1,750M BTU:- HEAT TUHEAT PUMP & AIR CONDITIONER 3-15 TONS -_ 'ii�.00hIDITIC�.t�ER.: t:5-<TL� HEAT PUMP & AIR CONDITIONER 30-50 TONS, N vic VENTILATING FANS-- == :amu TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD CLOTHES DRYER GAS LOG 000 BTU DU•C•TW• (NOT "COVERED ELSEWHERE' UNLISTED GAS APPLIANCE <400,000 BTU ULINSTED GAS APPLIANCE X400,000 BT• U`>>_ USED APPLIANCE <400,000 BTU 'USED APPLIANCE>400 O00: B'I <:::>;::::: ..........::.... AIR HANDLER <10,000 CFM 'AIR HANDLER>y ' ! NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x 25.00 = x 10.00 = x12.00 = x15.00 = x 1.00 = x 12.00 x 20.00 - x 25.00 x 35.00 x 60.00 - x 12.00 x20.00-, x 25.00. = x 35.00 = x 60.00 :.�. x 10.00 = x 10.00 = - x50.00V x10.00 = x10.00 = x 10.00 = x10.00= x 10.00 = x 50.00 = x100.00 = x 50.00 = x100.00 = x 12.00 = x 15.00 = Ft" . .• .j:.:. :...c ; l•J,Y.<•Vtvi_ . , ; • , - 1 v_s2,. SUBTOTAL $ ) / r,() PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE %/ Do _$ 3(0- Spokane Count! DiviSiOr •