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1993, 02-19 Permit App: 93000977 Mechanical Fixtures
y � 5 f ° . c ) ' � .. MECHANICAL PEi3Mn APPLICATION FORM . .RJ 3( U�� °fig Information Worksheet 3_� 1 7 JOB STREET ADDRESS:1--a41. ' .//' S /v. 70e€ T 47c7/ l 5'. .c'. .c),/c) CITY/STATE//ZIP: 0 K(,C/ 0,4 4'l G ‘, PARCEL NUMBER: OWNER: Le'S// 'd ee_.1�512t L PHONE NUMBER: ,A o P 9 MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: Heat Transfer Inc . LICENSE NUMBER: Heatti-1881n PHONE NUMBER: 482-2000 MAILING ADDRESS: N. 3003 Crestline Spokane, WA 99207 • (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS __ UNIT . =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = x2 .0 = GAS WATER HEATER :<; ::::::v::::::.;. x 10.00 = /G', / GAS EQUIPJ rMEN ` 00,000 BTII(INCL DES..... > ;<_;> l x 12.00 = /a. oG GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = GAS PIPING (EA OUTLE :::::........ ....::: ..r... ::::: x 1.00 = ,_,9, D© BOILER/REFRIG 1-100M BTU x 12.00 = BOIEH ?EFIC: -5kJ... : . r... r ....: BOILER/REFRIG 501-1,000M BTU x 25.00 = - `BOILERIREFRiG 1.,0001 1,750M BTU ...... _ ••.•. > x 35.00 = BOILER/REFRIG +1,750M BTU x 60.00 = TON.-. < ' `=> ` = :HEAT PUMP&aIR Ct7NDITIC?NER 0 3 TO.-_.S.:,:.;..... ..:..... x 12.00 .....:........................................................................:...... ........::......::..............:............ HEAT PUMP &AIR CONDITIONER 3-15 TONS x 20.00 = HEATPUMP &AIR CONDITIONER 15-,.30 TONS::_: _ __:.::; x 25.00 = HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 = HEAT PUMP.&AIR CONDITIONER +50 TONS > -»> x 60.00 = VENTILATING FANS x 10.00 = ;:::..,.AP_. .9:AT V:::.}...... ER gigggg < `> gEst _mmoi = 0.00 EV 0 : L E GOO:._ 5...... ......... .........�;;;::.;>;}:}}:.::.}::;:};::;:: '.:: TYPE I HOOD (PER 12' OR 12' 0. PTN. OF HOOD) x 50.00 = 1 0 -:TYPE l .I.H D:»< ;:'` _ `' '>�<>�< <::.:::::.:;,::>:.::::: ' '<>�<�>�>> '><>>> > >'> :'<> x 0 = CLOTHES DRYER x 10.00 = x1 = GAS•-LOG:.�:..................................:.................. .......................................:............. x 10.00 = .............................................................. ...... • :GAS rLO: ,...:;r:::<:::.:.:::.::::;::: :MISE ANEO ( O ERED ELSEWHE# E}Y :, x 10.00 UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = . ' ��A.. ``A1�::. ,,.. >.> 00.00= AUL NSTED:>t�AS........PE.f.......CE......OQ�: .. .T..U:�=< < � >��»>` <f v..�....::..::...ri•• •v'lv... �v vv:•...- .. .... ...... ............. USED APPLIANCE<400,000 BTU x 50.00 = . iUV: ..,:rr4}r.. N.;ryM>4w7aiv4,..;Oo0Yxim% ? u.:..:!rw:xcx.1.n:M1.rxcrwccrvt u. '.arulr,'•a • x100.0/ = AIR HANDLER<10,000 CFM x 12.00 = ` , .'S4:::;nft!!�.n•YY ..'T.._. .. ...,..- O0 � x 1 = AIR HANOLL"-R�10� Q'�;; ;:; ;;:�;:;.::};:.:.;}:.}:.::.;;; >.......} .x .:.;.:.�.;;: 5 0 SUBTOTAL $ 4X,pp PLUS: PROCESSING FEE • +$ 25.00' NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT FEE DUE =$ g9:60 SIGNATURE P2441 etd Alt4-e. • • Spokane County Division of Buildings West 1026 Broadway Avenue Spokane, WA 99260 (509) 456-3675