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1994, 01-27 Permit App: 94000648 Water Heater, Piping - MECHANICAL PEAMIT APPLICATION FORM Infrirmatititi Worksheet JOB STREET ADDRESS: S,, 3 -4/ . . CITY/STAT93IP• ne.?...Ar / - , (-7 - _r ' .0 PARCEL NUMBER:_ OWNER: i cla-t., a'ril--1.Lrvl.. PHONE NUMBER:/ ‘-_,,,...,,[:: l_.. .a...6 MAILING ADDRESS: . _______".. (Street) 1. ' :1City/State) I irlgiP) CONTRACTOR: A 1-r-C i J,.._a 0 _ LICENSE NUMBER:1 /in 076 ,& / k PHONE NUMBER: , 5-,S'-1/7---g V 2:5 MAILING ADDRESS: E 5J3 ? l ..-Y--e,± cp,i,--4, -,,,,,_±._. 1 )a 91 j 1 I (Street) (City/State) i (Zip) MECHANICAL WORXSHEET/FEE SCHEDULE [NUMBERo F UNITS XL)EN AI TC H DESCRIPTION . AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 gs WQOPStOYEN__ $015•1110111Nilikl:5;;g;iii2; : x 25.00 It GAS WATER HEATER x 10.00 . 10, 00 p40::0-004.04tri.OWW:00:itiNdL000•:: :: :111.C.: x 12.00 - - GAS EQUIPMENT +100,000 BTU DUCTWORK) x 16.00 • _ GAS.PIPINGVAttt:Winft:I.;I:ii,6;i::;i!!:ifri...!::,:.:: ::iorigi,li:::::i;,= / x 1.0a . 7, 0 0 BOILER/REFRIG 1-100M BTU x 12.00 ag BOIMPOREMO i101 i.4,5004:14i.,.,...;. ft .iii:::-.. x 20.00 . BOILER/REFRIG 501-1,000M BTU x 25.00 11: BOI.LERME000100.14;7:50tlIV:: ::0.•:,,:l':::ii:::•':-:,:'''':',,'.:: ]•':' x 35.00 PM BOILERJREFRIG +1,750M BTU x 60.00 =I HEAT:PUNIR:kAft.R.P.QP4PItttlaFt04IONS.:%,::;.::niii:: ::.:: - x 12.00 tra __- HEAT PUMP &AIR CONDITIONER 3-15 TONS x 20.00 szt .HEAT PUMP$t'AIRCONDITIONMEO;OTWOAge.:. x 25.00 = HEAT PUMP & AIR CONDITIONER 30-50 TONS x 36.00 = HEAT PUMP..&AIR CONDITIONER450:TONS-:.q,,•'..:':':;ii.::::'---:: 1 x 60.00 VENTILATING FANS -I x 10.00 = EVApOHATIVE COOLERS. . .: .. .- ..:':',•.':.. . .... .:1..:,:..,..:::::::-:..:_... x 10.00 = -------I TYPE I HOOD (PER 12OR 12' PIN. OF HOOD) x 50.00 = - TYPE I! HOOD - .'. . . ..'- ''.''''''. . _ x 10.00 = 1 CLOTHES DRYER x 10.00 = RANGE ' . : x 10.00 = T ------4 GAS LOG .- - x 10.00 = MISCELLANEOUSINOT COVERED ELSEWHERE.,. .,:ij. . : x 1,0.00 = UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = _ ULINSTED GAS APPLIANCE?400,000 BTU . .-. :.. ,•..'; xi 00.00 . USED APPLIANCE<400,000 BTU x 50.00 = 1 I- . USED APPLIANCE.)4POtQOP gni I . . : •-•. :.: ... ..'..-::: t_ / x100.00 = AIR HANDLER <10,000 CFM x 12.00 = AIR HANDLER >10,60p cFm . .. .. . ..... .... :.: r... x 15.00 = SUBTOTAL $ //- ee _ PLUS: PROCESSING FEE + $ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT FEE DUE SIGNATURE ,., AA-A-- LUdf-- Snokane County Division of Buiidings weagst• 1 33 ' A tile\1"4 t." 0"ft te, r%nt lA/A Cla0Pri rg.noN iicn-qA7c