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1993, 02-16 Permit App: 93000913 Water Heater, Piping MECHANICAL PERMIT APPLICATION FORM - -- 3- I I .Informatifon Worksheet JOB STREET ADDRESS: 314 l S Sunwul.V dr. CITY/STATE/ZIP: S/i nce cuPt F22oC PARCEL NUMBER: OWNER: /r';'4r. PJ4RZ PHONE NUMBER: 92-6-9059 MAILING ADDRESS: • (Street) _ (City/State) (Zip) CONTRACTOR: (AH t��� Ptl44t Liu / LICENSE NUMBER: L(NS T E P1. !S8 Cs / / - PHONE NUMBER: S'6rt - 9.2.2.-.5-00 O MAILING ADDRESS: F /1ft Z m&.Yts icicQ • 6 Sjod. LeJi4 Ti-24 6 . (Street) (CIty/State) • • (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH ' DESCRIPTION OF UNITS UNIT =AMOUNT ; • ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = ;:D T V N ERT.::;:>:>:><:;»::>:>?:>:>:::>:<':::»<::::::<:>:>:;>>:::< :»:.. ....:.. x 25.00 = ,WOO _S.:O :�1.1 5 , GAS WATER HEATER>;>:::.:::........:........:........................ ............................ / X 10.00 = /O.oa GAS EQUIPMENT<10t),tl00:.ETU (INCLUDES . : ........ x 12.00 = GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = ,'. X1.00 _ 00 GaS: IPf 0EA40TtO �:. i. ........�:. ::: z Z. ...:...... ...... BOILER/REFRIG 1-100M BTU x 12.00 = B: x 20.00 :;t�C�l =ER1RE ..RI .> 01:..: : OM TU....... .<'>� <>'�< <:�>: :'> > >::>;>'�:>: 1. �' G 1 5i) _..:.::.: ::..�..:,.::..;:...: >.::,::::::::::::..:::::::...: BOILER/REFRIG 501-1,000M BTU x 25.00 = 0 R x35.00 = B0.I.I0/I EFRiG.: 000P4i 5 M.. .TU.....:.<.: <`::::::;::>::::>:gi.i.;:: BOILER/REFRIG +1,750M BTU x 60.00 - SHEAT PUMP &AIF CONDITIONER 0. 0'CONS .. . x 12.00 = HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 = 1HEAT'PUMP &:AIR CONDITIONER 15 00 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 = Ei/APO RATIVE:CL:E;OOS . x 10.00 a • TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD x 50.00 = ��yy x � 10.00 a CLOTHES DRYER / x 10.00 = 1#0.100MESIBRIganiiiiiiiiiiiiiiingii!iiiiinnigiaggiiiiiiiiiifigiiiiiiiiiiiiiiiii x 10.00 a GAS LOG x 10.00 = • MISCELLANEOUS (NOT COVERED ELSEWHERE x 10.00 = UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = , I , "P LIAN E:>400: 0 .E 1>•<'> <`>» ` `>>{;`:' x100.00= llLNSTEa:OAS A:..F', C _, 1U0�.:>:.:�:�.; ......::..;:..:::::: USED APPLIANCE<400,000 BTU x 50.00 = • E 000'.:8 :....... :>f < :€ >`€iiii <> gg. x100.00= • USSt�APPLIAIJG__ t)+t), .: :�u:�>.:::�.:::,:.:»:{.:::>;:;:�::. :::.:.>: .::;.:>::: AIR HANDLER<10,000 CFM x 12.00 = AIR HANDLER>10,000:CFM ::;.:><::<>:<::;:::::::: x 15.00 = SUBTOTAL $ 1.1•a© PLUS: PROCESSING FEE +$ 25.00 . NOTE:. MINIMUM PERMIT FEE IS$35.00 EQUALS:TOTAL PERMIT FEE DUE .$37, 09.. SIGNATURE D1 o= ` _ ' .'0 . Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 ,