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1992, 10-30 Permit App: 92009598 Mechanical FixturesMECH4AL PERMIT APPLICATION FO111 Information Worksheet JOB STREET ADDRESS: 8 I cLiL J CITY/STATE/ IP: L Oj O LQ �P 79c /7 P RCEL NMBER: OWNER: I-tDIr'Y\OI(if'1 PHONE NUMBER: 92 MAILING ADDRESS: SP -M -e. -` 02-) (City/State) i f CONTRACTOR: V (iii j )47e(aStrrO l� LICENSE NUMBER: V l H,576#57,4 �L/L MAILING ADDRESS: /j ( PHONE NUMMra y(„I DESCRIPTION (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) y1�1.:='}f.`:`i:10l%1.:;{'y-,':i`i;:•;',{,$:g':ij<.<,%°t::`.:' GAS WATER HEATER • ;#SAS>Iw:�1J..P.y y�.I�':C:`O.t�{�T�:>::..N�)~#3�:i�ai�•:}:�::;;u,.:.k.;�.� GAS EQUIPMENT +100,000 BTU DUCTWORK) II��KKA j�� �j�� � f'}it✓.:Sn S•}• •: ity'{�itr:Li;y {4)i,:�T\' 11 yds. �y¢ a«;�/(`� : �. ��. }:vvm :: iiJriti;n4�:n{ivv:J}� :.m•: i}:.u: v. ,'.;L'{�i:��'.i�:�-'�.v..r Y:ii•:C:T%,�:4'4C'\-A44:Sw rs.: BOILER/REFRIG 1-100M BTU r•+n 4'v^v „}}:}ut:.y 4+ }, f}..yw:,• . {,•: ik"y.� BOILER/REFRIG 501-1,000M BTU fx:.; :••;rnyi:: {: rcrc{):: m•: ny�«nvxxr: {.l {{w+v./•x/�+}/v�:i?{�{+. ? 4+•{: yyM;;nVJr. P��4�T:zt•��Ik�ti�.T.#::If}7:17,.fii.:i:"`i r BOILER/REFRIG +1,750M BTU }xiUYiv YSR�+GCy-• •'••f.;\'I..i :}'� t'?i:J' ii::•`'.ii :i:Y:y:>,,':4? n{"..,'i • :::::::::::::::::::::: i.:• r:w::w::.vi•}. ::: r:.w.vx.vr.4nvr.,v}.:.v:.v:n.: u::...:......:r............. HEAT PUMP & AIR CONDITIONER 3-15 TONS ��` � � ::.r#k:.t �:,r..y}:.y,rk,}�.;.„...,.::::}j•.�.:jrk.,-.j.}•:.w. �Y3..�,Y�,•4�.�.'.:�.',,-.,},�.Y4-... �•.:• �`�ti +r'ti,'. R:-7v.',r:„��ail��:tj,:Kv'w{�':•v�rVuµ#,'�`�1�?����%{�A�x��� �1���.•�.��}6iau::: HEAT PUMP & AIR CONDITIONER 30-50 TONS VENTILATING FANS awe.n{..'fnw4�:r<�:rcsY?y}p•=4'v•y{}:•�,�h'•:�}:: cGY.C:g. r..?:.q TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) yy}wµi •.�{ i^l?.v{{:�k4Y.{?::{i4:{f^}:•?-}}:4:4vi:i{i'-'i'fi{-:4iii::r�•';::i �v�}u:ii'i'.v'r:{i v.•x:::nu.:...v.::...vv.w.u::•..v.:S:..� :r: vr:-.v.{-. :• vvnw:.v+uv>..:{:.: ..... :..Y .,. CLOTHES DRYER • }:{t;{4:::;}:{4;:t�.a•:.•4::i.,,•.r r:it:}:..• .: _i. r. 4.:>::;;fi•}ri:x:;Yx:s{:• r}}S;yx?-y:Y:-}Y::� k{:i:?=iji-<t i :^::•Y.v4::i}?{vF.%'.:2} �:} rv: hr.Li"^C ''vY'..YY:4 �'v :t;{:.4 } •i4,: �'v . {. ,Yr•,?nv:c;:,;x::k{?{ic.:t4:t• .{fix:%;.', ...... :;.. v 4:SY::. vvvikk�•?3i.•. � 'k. F..•4:'..{.{. i,}}Yn4r:s4nw.v.:v::::r:nw:.:... GAS LOG UNLISTED GAS APPLIANCE <400,000 BTU USED APPLIANCE <400,000 BTU AIR HANDLER <10,000 CFM 4:�.{;:�'Ci4Yild'-•N.'.•.'.%S:i•�••`�h�'r{i }:�i:4 n LJ+{h NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE 9 5)3 (Zip) NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x 25.00 = I x 10.00 = )0.0o x12.00 =00 to x 15.00 = l x 1.00 , 60 x 12.00 = x 20.00 = x 25.00 = 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 = 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 = SUBTOTAL $ (23 • OD PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE Jam% =$ ! 'a) Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675