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HomeMy WebLinkAbout1992, 11-19 Permit App: 92010135 Range, Piping)6135 MECHANICAL PERMIT APPLICATION FORM Information Worksheet' JOB STREET ADDRESS: 436gi yev-,14-t CITY/STATE/ZIP: ..7priV kit 4412i/e PARCEL NUMBERf PHONE NUMBER:dirk-W.- OWNER:4-eve MAILING ADDRESS: (Street) (City/State) (Zip) -LICENSE NUMBERU 1g-- 7).. 6crQq CONTRACTOR: 2--ki4c1/16.. 64S.e, vie" PHONE NUMBER: As 77- /612_. (City/State) MAILING ADDRESS: •-g5q 4 - DESCRIPTION (Street) MECHANICAL WORKSHEET/FEE SCHEDULE ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) GAS WATER HEATER ::: M.... - .....f...........A. ••„i„......"...:x.4.4. •-.... GAS EQUIPMENT +100,000 BTU DUCTWORK) :•-•,,..ip-,:mit , ... , .. , . immegRat, ,,,A.4. el:41T *:i§1:1?• BOILER/REFRIG 1-100M BTU BOILER/REFRIG 501-1,000M BTU ••, 4%, • •• ••• BOILER/REFRIG +1,750M BTU • ...00 MsifaX4' •11: wiezittat- HEAT PUMP 8t.AIR CONDITIONER 3-15 TONS ,.., - . .:„..........„.......„ • . " .....:,...:**„...a.„:. -.... HEAT PUMP 84 -AIR CONDITIONER 30-50 TONS . . ... ....m.Y.,:mikemshvgliiMmiv....::vm: •:,::.:.•::::-:: .fENTILATING FANS ',.,!:14•,:v.4wk,:-.*:e.NRAV:MiMP:mrx• .Q., *.e.•,:.m:tiftw, TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) .-x••••••":-"----F"-"xiiiEW:ginpiMitnripalaiinSERM -............. ...„...„„gium:iii,Amv,,,,a,:..::,:p:::*::::::::,::::::::::::::,::::::::::::::::::::::: CLOTHES DRYER -i-:- • - • ...•••••„,„-•••••••--::::,:„...,,,..K.:„,•:„,„:w::::::::•*:::::::::::::::::*::E:::„:„*::::::::K::::mgm:::Koisi:E:x::::::4::::::::::„::: GAS LOG NOTE: MINIMUM PERMIT FEE IS $35.00 (Zip) NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x 25.00 = x10.00 = x 12.00 = ii RIV---- x 15.00 = ! 1 x1.00 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 12.00 = x 20.00 = x 25.00 = x35.00 = x 60.00 = x10.00 = x 10.00 = x 50.00 = x10.00 = x10.00 = x 10.00 = x 10.00 = x10.00 = gi • x 50.00 = x100.00 = x 50.00 = x100.00 = x 12.00 = x 15.00 = SUBTOTAL $ PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE =$ SIGNATURE Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675