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1993, 02-23 Permit App: 93001047 Wood Stove
(k' IG IA 7 ..,_ L.: ../. 8- b :.. / S MECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: 4 0"r:'. -- / O 0 CITY/STATE/ZIP: cep " s - PARCEL NUMB R: 1/6-/S It - 4l'©S' OWNER: Awal.A. PHONE NUMBER: 9 - 2-5 1 MAILING ADDRESS: Ae (Street) (City/State) (Zip) CONTRACTOR: LICENSE NUMBER: PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = 2 0 = ALV<"' i . : . 1 a)=t '':..:::;::.:::::::::.::;;::;;;:;;.>;::::::::: ::.::::::::.;;;;;;:>:;:: .::. x 50 GAS WATER HEATERx 10.00 = �AveQU1p.MEIN'I``< 1:4t1~qty: a1OKEN:.;::M;.::.;:;.;:..;:.;;:. .:::.::. x 12.00 = GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = x 1.00 = BOILER/REFRIG 1-100M BTU x 12.00 = ;;::,::.AI[:::..:.>.. „>.>`€•<``...<..>`< ....€.>.. . ........ x 20.00 = BOILER/REFRIG 501-1,000M BTU x 25.00 = x3 35.00 = BOILER/REFRIG +1,750M BTU x 60.00 = HEA:.:;.;:P�:.;;;:�':.:�:::: :�..::: :�::.:::::::::::........: ::.........:::: :.... . x 12.00 = HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 = 2 x 5.00 = HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 = HEAT::::UM#........`:Ati ?C: t D 7 l t . t.::O t :.;:.> .:;:...:::::. x 60.00 = VENTILATING FANS x 10.00 = A{ �'':.<: >»�:'»'< > ��> >< `.>>«>�> y>..<:>° x 10.00 = �1/�►E�C�1 `� .� C :.;;E �: :.:.r.:::.::..:;:.� :::: :: :............... x 50.00 - TYPE I HOOD(PER 12' OR 12' PTN. OF HOOD). = x 10.00 = CLOTHES DRYER x 10.00 = x 10.00 = GAS LOG x 10.00 = x 10.00 UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = H LI t��TEC�: oSAP�'�tAN E E.......Qt�t �. :. :.: ::::.:::::::::. x100.00= USED APP•LIANCE<400,000 BTU x 50.00 = USER Ai��'ttANGE �«� � VQ f ..... :::: .....:: :::::::::................... x100.00= AIR HANDLER<10,000 CFM x 12.00 = . x 15.00 =0 SUBTOTAL $ PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT FEE DUE =$ SIGNATURE Spokane County Division of Buildings Wait 1 nn3 Broadway Avenue Spokane. WA 99260 (509) 456-3675