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1993, 01-15 Permit App: 93000225 Wood Stove 4.5aaa ,moc('ooD 3 MECHANICAL PERMIT APPLICATION FORM 3" `� a'S Information Worksheet JOB STREET ADDRESS: S. 606 U lf N l ,q CITY/STATE/ZIP: J D1 Ne URS 9,7 /' ' PARCEL NUMBER: _ P OWNER: (kc)65e (Vlc���l.. PHONE NUMBER: 9;9 2- F3-03 MAILING ADDRESS: (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 = x 25.00 = GAS WATER HEATER x 10.00 = f 2. vrrr.:.,,::....:....:::....:...:::...k..:::..�.....::..:.r.r....... .. .. x1 0 =0 GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = OnattigROPPIAMENINEUMEEMINON x 1.00 = BOILER/REFRIG 1-100M BTU x 12.00 = �.a. �a. ;.,t>.::x>,?..:;: r'�._..;...:.:;-::.::<.><;:=:-.:;-;:.I x 20.00 = t iy}� :.}�y/}?Ma.:nx.:444v: y� ":'It���:•:.�?"•:S?:•:?::iv:-:::?...::..:v.:.:v.:. :::::::::::::::::::.vx;.•.v.:x\rr:.x\vv:::.:x:.tiv:x.•:n.n...n........n::x:i............r...vi'i...vv:.:_s. :i::?p:-v.......... BOILER/REFRIG 501-1,000M BTU x 25.00 = y�+{� J+1�� ::�i�:f�i:�<>'f>���I')�`���'��Q111::..:.'X' �:r <:>;,.,??:::>':»<'::;;:; ::::;:. x 35.00 $!l��;l:Tx:,•:4v:rv::::.vvv:�•:r.•:::....vx.....�..w•.v:vw.v:.::......n:........5.'rx.n r...:....n..r..:.::rviw:.: BOILER/REFRIG +1,750M BTU x 60.00 = T:<: 1-:;N:: w�k ;:>.:::; x 12.00 = €H F�1�`<i� M�?<� st >....�'�'r.. f�1�1..:��3t�� t�.►,r:��...?::�' n��...••<:::.:..:.:.. ... .v::m:::.w:::::rA::A.vnv.•xnwn,•::v.•+.K.:...xrxxv.;x:..vvx..:...rn nv..:..F...vn n. 4.x::::......vx:.:.r.•x::.. HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 = INIENSIONIPVINNAC447410111151 x 25.00 = HEAT PUMP&AIR CONDITIONER 30-50 TONS x 35.00 = ::.?.:•:?r.>'?:?,.:::;�:r.;?..<...r:: :x:.::?;•:r.,:.::xf::;r;:.::.::;.,.,;:,.;:?;:x?::?x,..x?::;:,::;;;�;:,r;::,.x,:::.:??. ;: 'f. >'I'.<> v: : >_' x 60.00 = VENTILATING FANS x 10.00 = x.+r:•.::.•.,•.rrw.v�'.,•t:...;:::..::#x. :.;G'#;2+�iik?:�,�,•`.fir•:..,•:fi�:::: :�:?::3?r �.`•f�n•':::r`�:'�;,�:f''� ::� �..?: ,>,r??, :;:;.:.:�,�s v::'<..?:r;;:: '>::•.>:•,.>,,..:<;:��::<:: x 10.00 = ..: \Yn.:xxw:::;r.: w....vx..:.........:+ift�ii•5�:iiv.:ri::?i:iixv..:. TYPE I HOOD(PER 12' OR 12' PTN. OF HOOD) x 50.00 = >` <>' ?< N..;.:,: . .. ... ::.rt:.:;.;::: x 10.00 .......::::::::::: vxr..r/:::55:'ti}::xi: ?orR?;:ir:??•>.::r-`:..... CLOTHES DRYER x 10.00 = v:::£}:;:::x$:�i:::::....'i::.i;}:i:•`::i::Yi::::i::::}::•}::i::i::vi::i::i:::::i::i:- Ns:�v�:��: ..�.. ..>.. x 10.00 GAS LOG x 10.00 = i 1:ISOEL i 1: US:.:N91 CQVEREt < $WHPJ :: ::w:: :: x 10.00 UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = = �:lL.I.NS �C1".. �� �f'fR.�• 00 OQ�t�t�l► 'li'�J�;;>;;:;;:;:.::.: ...r.... x1 0000 USED APPLIANCE<400,000 BTU x 50.00 = g J00VAfih x100.00= AIR HANDLER<10,000 CFM x 12.00 = x 15.00 = SUBTOTAL $ PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT FEE DUE =$ .OC i SIGNATURE -Lti4,bIY ,ixd& Spokane County Division of Buildings Woct 1!Aril Rrnarfwav AvanttP Snnkann_ WA 99260 (5091456-3675