1993, 05-26 Permit App: 93003985 Mechanical FixturesJOB STREET ADDRESS:
CITY/STATE/ZIP: 5 PoKANF_ W A G192
OWNER: Of\ N(v _AV35
MAILING ADDRESS: F . 203
U TA1+
ii (Street)
CONTRACTOR: 0 /L i DA Y ( / f (N G
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
E. 72- ( 8 u 7
PARCEL NUMBER:
Ad/LzAl
tt
) 0-1 , 710 l 1/4
PHONE NUMBER: 122 - 3 6 7 2
S wA
7/004(
(City/State) Ho 1
LICENSE NUMBER:
PHONE NUMER:
MAILING ADDRESS: `7
(Street) (City/State
DESCRIPTION
86
MECHANICAL WORK
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
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•
GAS WATER HEATER
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GAS EQUIPMENT +100,000 BTU DUCTWORK)
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BOILER/REFRIG 1-100M BTU
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BOILER/REFRIG 501-1,000M BTU
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BOILER/REFRIG +1,750M BTU
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HEAT PUMP & AIR CONDITIONER 3-15 TONS
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HEAT PUMP & AIR CONDITIONER 30-50 TONS
VENTILATING FANS -
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TYPE 1 HOOD (PER 12' OR 12' PTN. OF HOOD)
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CLOTHES DRYER
GAS LOG
UNLISTED GAS APPLIANCE <400,000 BTU
LtN .l=D SAS: APPLt NCE> t7Apt OO' TU '<>;€>`< r
USED APPLIANCE <400,000 BTU
AIR HANDLER <10,000 CFM
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
x 10.00 =
J
x 12.00 =
x 15.00 =
x 1.00 =
x 12.00 =
x 20.00 =
x 25.60 =
x 35.00 =
x 60.00 =
x 12.00 =
x20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 10.00 =
x 10.00 =
x50.00 =
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 =
SUBTOTAL
$
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
_$
Spokane County Division of Buildings