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1993, 04-27 Permit App: 93002942 Woodstoveor '' P4- MECHANICAL PERMIT APPLICATION FORM - (tel l /Information Worksheet C JOB STREET ADDRESS: L• /! 0192 1477ey. CITY/STATE/ZIP: .S,00% q -t r PARCEL NUMBER: OWNER: Eu g epte N _/� %i/vf� PHONE NUMBER: 9 2-`f - P2/0 MAILING ADDRESS:✓E//(2b2- 14/4-V (Street) (CitylState) CONTRACTOR: LICENSE NUMBER: PHONE NUMBER: MAILING ADDRESS: 93.Q9q a-305 (zip) (Street) . (CitylState) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) }" �/♦, .f{ta#'•i.°7,.Y• '�it�.Sp�YyC J J;G,;:vfi.y::.R:ffi:��: •..o.�r:: Aw :?•}:.:....:mw. .., nv/{rfU-\.9i:v:.tivaa,"�na........... GAS WATER HEATER ♦'r#T•1F.1E '.�/.Y.��,�I;X:n♦ ryCM:rMWv: GAS -EQUIPMENT +100,000 BTU R DUCTWOK) {::.:. nv::,:v:. 'f.OYv: x:., w: nv:.•.vnv: .Y. M:..v\v\•: }.nt4.o'.v. :Y. 0+1 '•}.in• ,...r\Cv::4. BOILER/REFRIG 1-100M BTU a: a}I• L,.:,'E,:.:.i......: :.ih}}}:Yt{- OvYkmi,n nvlJ:X}Q,v1.�.y'r:::::1.•'hzti4n. }}:}}fiFv•44: : • BOILER/REFRIG 501-1.000M BTU BOILER/REFRIG +1,750M BTU :.:w.1i-'-t. .,.,r♦S-:i:2w' � wt..a$x:,.w♦ ` .ssw., i:, w:w HEAT PUMP & AIR CONDITIONER 3-15 TONS A yy{I•r„b.}:i,.,T..s �ev ett i HEAT PUMP & AIR CONDITIONER 30-50 TONS {..i:.}-::{�Y::�:{{:�:!..•:.:::.:.::{{.r:u,•.u:Mr : a.:v. ESM♦♦:y:.:-..-.n%i'".`»:I� VENTILATING FANS 9-^:• ro...,,..,.:•.•.;: ♦::::::: • {y...{:::..v♦:. w...:.y,. .. y. Y -Y, ' -Yrs'•'-,u""::'"'.::G•. '•cc%h Yr:+iL•9i:x9.'!y.';c -;i.: TYPE 1 HOOD (PER 12' OR 12' PTN. OF HOOD) :: x+Jv.'.}•.:-ry{nv:::.vm::.v:-n}, Jh Y{: �Y?,_Y. p+,;. y}}.::.{•.x.. y,JM4 .K k: •. }. yw•{'`;: ,f fK:+d,:r5+,<'.•,i.''�ir' !'N;vyr.•il:�•''. •.. •C.` (p�:���#�t�:l�:-.:��:{' �:.: :fin �.•:;�}...n ��:�n ! CLOTHES DRYER •:tiiaY3n}.th,N:'•%:4YtiY:.:Y,'.:: Y.: iGhf�iVMrtW��`'•a: GAS LOG Sh UNLISTED GAS APPLIANCE <400,000 BTU 47;�� 1?�:1,?.Yl,.rr14�!•.�'.�,I..1�r<:{.-:�,-}�:'t�",[:'i:•4rf.!CalYM1til;y4-.FLaFi VtN:v'�, USED APPLIANCE <400,000 BTU fes :............ .:.. f. ;..�...!......_;..-.. ;.. ,F. ;.s::r ::r:• •::4.v.{: v-.•---.YY-'::-v.Yi__. ______ vn'i.:.};: tf11 ,' Y 44`: r:i2{:f:{}: ' p v::y.}•Yn. >V.Si f�r►f��iVi#7t,s::<3Y<::<:>.c.::Y;,>sf>• .t::}}:: YY:.rYs:•:av:•}::� :::::.,,,,v:'-w:vr:r:{,Y�)v.,Yireetee.Y. .. ♦n :..........:: .Y.•:.v.:,YY:: MR HANDLER <10,000 CFM Qf • NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE PP) NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x 25.00 = x 10.00 = x 12.00 = x 15.00 = 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 = 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