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1993, 09-01 Permit App: 93007773 Gas Log, Piping 05253 _ 03a8 %? 7.773 MECHANICAL PERMIT APPLICATION FORM ��� Information Worksheet JOB STiT ADD ERESS: 9 /r J5 ,Z J[, o'yt,kzit--, .€_, CITY/STATE/ZIP: li/ - J9e --W& 14037 PARCEL NUMBER: + OWNER: 4QtC(1 (Ai PHONE NUMBER: l7- 78V MAILING ADDRESS: Ja/{,n(Jt Ea (Street) (City/State) (Zip) CONTRACTOR: I a )C...Cl 6 r4iei'r-.iJ Cf_r.!fFR LICENSE NUMBER: 14ICO &CI-73ItA PHONE NUMBER: (SCq) cl.?Co-g9 J l MAILING ADDRESS: e - <13) () -5p ea3uP. c oisKA�jP_ )A.)(3992 Deo (Street) (City/State) (Zip) ._ MECHANICAL WORKSHEET/FEE SCHEDULE . NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = WQODSTOVEOPSERr =:>::>::::»-:::::;:.::<.;.;-->::>:.:: 4, x 25.00 = GAS WATER HEATER x 10.00 = GAS.EQUIPMENT<1003000 BTU(INCLUDES= : >::;» < x 12.00 GAS EQUIPMENT+100,000 BTU DUCTWORK) - x 15.00 = - 00 AS. :IPING EA:�UTL. >M`:: :;,-:<.:. `«::::::.; '=>>::::.:::>»-=: ::=>: :.>:': x 1.00 = -_ C : BOILER/REFRIG 1-100M BTU - x 12.00 ::.-:.,.:..�.,...:::- -:F•::::»,,• ,. ---------- - TU :x::.,:::.._..:;;:.;-:.......::.. ........ x 20.00 BOILER/REFRIG 501-1,000M BTU - .- --. x 25.00.1=-`. - _ . EtjII ItI EFRIG 1400(.< PM BTU x 35.00 ....:rv. w.... t. r .�-�•• j BOILER/REFRIG+1,750M BTU x 60.00-=' vr,x.,-:x:- H AT lUMP&AtR CONDITlONEf3 0=3 TONS _ x 12.00 HEAT PUMP &AIR CONDITIONER 315 TONS x 20.00 _,.« - HEAT PUMP&AIR CONDITIONER•15 3 ...........................................Tt S = s x 25.00 :- HEAT PUMP &AIR CONDITIONER 30-50 TONS` .- x 35.00 = :. NEAT PUMP&AIR CONDITIIONER+50 TONS ` :..,.,. =:>: >_: x 60.00.__. VENTILATING FANS �- - ----5--I'- x 10.00 = EVAPORATIVE COOLERS :::::p x 10.00 TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) - x 50.00 ` P _ TY .E.IC.H -D 00 ............... .......:<< ====:<:`> :: <::><=<:: : ====> ><:':=><:=> = :> :::�<: x 10.0 ........ ......:. CLOTHES DRYER - : x 10.00 = 4NGE x 10.00 = GAS LOG : ............ ......... .......... :...._ i< x 10.00 = /U )3 C MISCELLANEOUS NOT COVERED ELSEWHERE ::m:: x 10.00 = UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = ULINSTED:GAS APPLIANCE>400,000 BTU »< ."..... x100.00= USED APPLIANCE<400,000 BTU x 50.00 = USED<A'PPLi"::.:->.->,,, ..v.._.:.;--;.....:..., `=:< `' > `> >> >> » > « :> = ::: ;::�::::ANCE>40C g B`t'{).>;»:.>:.;::::;:> ;»:> - x100.00— AIR HANDLER<10,000 CFM x 12.00 = R.HIANDLER>`I0 000;CFM :<>_::::::::>'`:'::.:;::::;:>:>::: : =:><» <><;:;:::>:>::::;::>.; x 15.00 ' `} SUBTOTAL $ / / ° 11•PLUS: PROCESSING FEE +$ 25.00 NOTE MINIMUM PERMIT FEE IS$35.00 EQUALS:TOTAL PERMIT FEE DUE =$ SIGNATURE Spokane County Division of Buildings Iii,„-. , 'r ' m.n.,r1,, A,,.. ,, nr.. ,'---- 1AI, nn...,... ,e-_-',,•-•:, ..-„ .,,.—.. 3) 17C61.15INi1 ++ .••�• 32 .D061.1210I1 C)662..30305 10 26/C1/90 201*00 919 50018001110) 039 4103 A11*02 8 '•"� )) 91111.15101! 10 42,22,40 3000045 701 0011111115003 011*04 9 03 10./2.71100.4 111 I3 66AT0/2114 OW' 1013.1.151011 CO 1TT10/I0 9a01SN7113 ANtldOfI 001130010007 A13W6I 0 )3 CNLLI3311*04 I) 82 26/10/S0 33 40180.151014 WI 36 68/14/50 300031 30*1100011 0011)11*15003 010*04 3 23 .0121.711004 1) 26/90/01 )) 70080.151014 10 16/60/90 5000003 N011)0112003 A11601 3 33 21011.311001 VW/MUM 97 0V' 14747,645 55 096111'STWIe f0"•'""'I47107IO a3530ad WO"1TSN➢Y;WO)"[1I13V7 V 55 Hl161.51YVVY to Ce/s1/o2 77 1f010.15101J 10 C6/1C/L0 020151203 010440 11100/ 0 73 1*9(1.1111Mtlf 0x10145923.3 97 40 16/62/.0 )3 10.21.251011 03tL2..N0311 10 66/61/L0 3111035 N011)001500) 03*04 0 33 14611.303Y0f II N1 .6/61/.0 73 60161.15101f AJE Lt.1.10711 113112+)N133TI 10 CTTC0/60 3111035 0700.1 9 SS 206211.071194 M1 WI 26,60,90 77 MX210.021011 3d[C11333na1 II 31 12,61160 1011011 8.0011! 000A01100 Awl 35104 I 33 1421.10135101 l0 26/60/90 902[1s6.1014 OV 31__ [1/22/20 3300* W011)A015M03 001*4 I 33 10161.300101 0Vral nila3 10 11/10/21 77 246601101914 �•-� 0 1711--'i:t%1474.0 1911003006 1 WV1'117WI1121ti1.4 11 33 102211001104 10 06/91/[0 33 30660..51011 �- )) 300L1..52111! 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