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1992, 06-11 Permit App: 92004257 Mechanical Fixtures
5a l\ 1,LQ E= L ("1 MECHANICAL PtHMI I Arruum.I fun IunIn Ug JOB STREET ADDRESS: _3© / .-y/./�� i &7f j Ga.. W,..Q, PARCEL NUMBER : PHONE NUMBER: 9a4/ -,10V D,c)rk `•Ir..formation Worksheet Oa CITY/STATE/ZIP: OWNER:OWNER:Afriad MAILING ADDRESS: CONTRACTOR: .40/ 1i , 7/74 7 Street) MAILING ADDRESS: goad (Street) (City/State) (Zip) LICENSE NUMBER: 5c -197e PHONE NUMBER: 4 f1 /T fl i/%D 4W/ "(City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH OF UNITS UNIT DESCRIPTION =AMOUNT DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER HEATING EQUIPMENT <100,000 BTU HEATING EQUIPMENT +100,000 BTU GAS PIPING (1 - ._4, OUTLETS) GAS PIING (5 OR MORE. EACH:) REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) REFRIG 101-500M BTU REFRIG 501-1,000M BTU REFRIG 1,001-1,750M BTU REFRIG +1,750M BTU HEAT PUMP & AIR CONDITIONER 0-3 TONS HEAT PUMP & AIR CONDITIONER 3-15 TONS _ HEAT PUMP & AIR CONDITIONER 15-30 TONS _ HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT PUMP & AIR CONDITIONER +50 TONS VENTILATING FANS EVAPORATIVE COOLERS TYPE I HOOD (PER 12' OR 12' ?TN. OF HOOD) TYPE II HOOD CLOTHES DRYER RANGE GAS LOG MISCELLANEOUS (NOT COVERED ELSEWHERE) UNLISTED GAS APPLIANCE <400,000 BTU_ _ UNLISTED GAS APPLIANCE >400,000 BTU USED APPLIANCE <400,000 BTU USED APPLIANCE >400,000 BTU AIR HANDLER <10,000 CFM AIR HANDLER >10,000 CFM x$10.00 = x 25.00 = x 10.00 = x 12.002 = x 1.14-ree- x 1.00 x 12.00 x 20.00 x 25.00 x 35.00 x 60.00 x 12.00 x 20.00 x 25.00 x 35.00 x 60.00 x 10.00 x 10.00 x 50.00 x 10.00 x 10.00 x 10.00 x 10.00 x 10.00 x 50.00 x100.00 x 50.00 x100.00 x 12.00 x 15.00 /r/, ie)0 / 4O NO SIGNAT E: R i T FEE IS iialiggL e Spo 41 ne 4194 Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 5.00 SUBTOTAL ot) PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE $ CC W 2 0 0 H z W W N CC m N 0 Z 0 0 W cc W V 0 z ezt C) 00 00 z 0 H ALLOCATION OF EXPENSE — FOR INSTALLATION OFFICE USE I� MEMO SELLING 0 ,TWO CONTRACTOR EXPENSE ACCT. U U a ADJUSTMENT > p Z p ACCOUNT NUMBER g3&D- AMOUNT DUE CONTRACTOR cisme I JOB I.D. NO. OR WORK ORDER NO. SALESCHECK NUMBER s-a� 5 5,Q93 CUSTOMER'S NAME .. c (CONTRACTOR'S SIGNATURE) 14489 (See Bul. 0-187 Part II Supp. 8) REV. 3/91 SEARS FORMS MANAGEMENT