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1993, 02-23 Permit App: 93001040 Water Heater, Piping
3t��2Loo.O7 1,4„ Q�t UI E j��S (--Q✓7� MECHANICAL PERMIT APPLICATION FORM UJ 1 information Worksheet JOB STREET ADDRESS: 1'0 F a I 1 CITY/STATE/ZIP: OWNER: fl ct `t Z ) ARCEL NUMBER: T� vv, 1= V'\ MAILING ADDRESS: • CONTRACTOR: PHONE NUMBER: J . (Street) (City/State) Aqua Mechanical UCENSENUMBER:_ AQtLAMAR12nQa MAILING ADDRESS: DESCRIPTION PHONE NUMBER: 487-0103 2407 E. Euclid Spokane, WA 99207 (Street) - (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER OF UNITS -• X EACH 'UNIT = AMOUNT ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) GAS WATER HEATER GAS EQUIPMENT +100,000 BTU DUCTWORK). BOILER/REFRIG•1-100M BTU attzf' I" i r BOILER/REFRIG 501-1,000M:BTU BOILER/REFRIG +1,750M BTU HEAT PUMP &AIR CONDITIONER 3-15 TONS HEAT PUMP. & AIR CONDITIONER 30-50 TONS t1 ' VENTILATING FANS TYPE 1 HOOD (PER 12'-OR.12' .PTN.'OF HOOD) >ti�•.,Itz�,v��n CLOTHES DRYER GAS LOG . GM .14 Rat • iry C� b 'SAVE.` ED 3 ''4al UNLISTED GAS APPLIANCE <400,000 BTU .$ MtWelfeAlt, USED APPUANCE <400,000 BTU 0 AIR HANDLER <10,000 CFM OrAWAIIMAIMASI Yom. W" n . x10.00 x25.00= X10.00 =i x12.00 = :x:15.00= , x-1.00 s: •x.12..0 '= :__. x W.W = • x25.00 = xa 35.00 X60.00 = X'12.00 '_ :X 20.00 %25.O0'.a ,' j . :;•.. X35:00•s x 60.00 p x 10.00 s'• x10.00 x.1a:oo.. •.t;•.: X 10.00 Alt .N... • ., .. . X 10.00 _ :f x1.0.00= .._ X 50.00 c x100.00 = x 50.00 = x100.00 = x12.00 == x15.00'_: • • NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATUR SUBTOTAL $ 1 i.. ()J PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675