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1992, 09-17 Permit App: 92007644 Mechanical Fixtures
C3 M 7 MECHANICAL PtitiMI1 AI PLICAlIoN u-(Cki Intarrnatibh Wetksheet JOB STREET ADDRESS: = o f,'1Y OIM qua CITY/STATE/ZIP: f72.0 ' OWNER: "F,4 r'cG-40 64.4 PARCEL NUMBER: PHONE NUMBER: yLL gcres MAILING ADDRESS: (Street) (City/State) CONTRACTOR: Rannpr Furnace? & 1, e1� tnc:LICENSE NUMBER: 6ANNEPF37B111T CONTACT: RUSS LUNDF. PHONE NUMBER: 535-1711 MAILING ADDRESS: P.O. Box 4346 Spokane, WA. 9 202 (Zip) (Street) (City/State) MECHANICAL WORKSHEET/PEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOODSTOVEIINSERT GAS WATER HEATER GAS EQUIPMENT <100,000 8tU (IUCLUD GAS EQUIPMENT +100,000 BTU LUCTWORK) GAS PIPING (EA OUTLET) BOILER/REFRIG 1-100M BTU BOILER/REFRIG .161;46041 -la:. BOILER/REFRIG 501-1,000M BTU BOILER/REFRIG:1,0001 1,750M BtU BOILER/REFRIG +1,750M BTU HEAT PUMP &''AIR CONDITIONER'0-3 TONS HEAT PUMP & AIR CONDITIONER 3-15 TONS HEAT PUMP & AIR COtNDITIOtlEK HEAT PUMP & AIR CONDITIONER 30-60 TONS HEAT PUMP & AIR CONDITIOF VENTILATING FANS EVAPORATIVE-COOLSI TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) TYPE II HOOD CLOTHES DRYER RANGE GAS LOG MISCELLANEOUS (NOT COVERED ELSEWItEE UNLISTED GAS APPLIANCE <400,000 BTU UI..INSTED GAS APPLIANCE >400,000 BTU: USED APPLIANCE <400,000 BTU USED APPLIANCE >400,000BTU AIR HANDLER <10,000 CFM AIR HANDLER >10,000 CFM NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE (Zip) NUMBER OIC' UNITS X EACH UNIT = AMOUNT x 10.00 = x 25.00 x10.00 = x 12.00 = x 15.00 =- x 1.00 = x 12.00 = x 20.00 x 25.00 = x 35.00 - x60.00 x 12.00 = x 20.00 = x25.00 - x 35.06 = x 60.00 -.. x10.60 x10.00 = X 50.00 x 10.00 = x10.00 x 10.00= x10.00= x 10.00 = x50.00 = x100.00 = x 50.00 = x100.00 = x12.00 = x15.00 (a - [;. ( /Q. -,.I?, 2- Ze s SUBTOTAL $ g'1 -0o PLUS: PROCESSING FEE $ 25.00 EQUALS: TOTAL PERMIT PEE DUE = $ N9 0 Spokane County IDIVi&ion of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-067