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1993, 01-14 Permit App: 93000210 Mechanical Fixtures ZeM � . MECHANICAL PERMI APPLICATION FORM A' l-" q( cNA- CC\-' � ( A 0 C( Information Worksheet JOB STREET ADDRESS: "[`_ di I 44. C= °Z- G"'' 4 ZI CITY/STATE/ZIP: 5F.D -64.0 F', tkj A 19016 PARCEL NUMBER: OWNER: L - ('f V nc.. Ip PHONE NUMBER: I Sit S MAILING ADDRESS: Avv< (Street) (City/State) (Zip) CONTRACTOR: ( O( (4.5 ( �CR-4 (‘S LICENSE NUMBER: 0 U. 1 k el2 3 PHONE NUMBER: 013 S'-c6 1l 9' MAILING ADDRESS: S t3 q2 I VillU2rak M C(� ',i u)14 cte'tri (Street) (City/State) - (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = ;{::i;•:•:•iiiisi::i•:::?i�::?:;::'{'��!?:>:i?:.t lf,.-;YiiJf�':'}iv4}.1.{.:}:{4:{4,i::i'i:'}:;'S'. - :}�...}h,{:::;}w.}:• Y:{:vr}<Y?{{{.:}}:.}}�h+:.>:;;:,::<>::>:::}:.:i:::}»:.;:. x 25.00 = :::nwn:v:::nv::::::::nvnvv.:•.::v:::.v:::.w:::.v:::::::::::::::::.v:::.v8::::x.{..vvv,..vv:v....nx...vn.........v.... GAS WATER HEATER / x 10.00 •= /0,0 a }.:. F:fiv::{.v.•v:}: Y{i: :5;`•.{:_: } •h :.+:.:::::._•.} x 12.00 = �A >�.clUtf't�>t��::{...,.Qc���.E�.�.v:,�' l ,;����,,:�}��:;.:r:.}:.:}r,. : � �a ;�' GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = ryxK.hA.; t}�t(ry//� }� [ {;:{r::. 4..,i,'.,} YFN� �} :`.->'.':xr{{•' x 1.00 = 7 Q '4r,1'.'� :: tl�i4.t7+ 'OPM i•v'2:'v:}�tk:rti;•2N�^�'}p�C t¢ i. �: Y `i`.,}i+'Y.•�yG Z:v V::v.�.::•:{•:i:.:.. ..:.•.r�:v.{},:•$Xv.•hvi^'tdYv:v {•:tiif.;Ati{i4:.Jr.•:iY•:v'C S• �{v.S:.5.,+4hJ}:{+ii;v:{4:v:, BOILER/REFRIG 1-100M BTU x 12.00 = Elg RM r AVSIk-fi : , V h2$ x20.00 = . BOILER/REFRIG 501-1,000M BTU- x 25.00 = y::.yr :.:o•:r •:.;��.�,f.`.J,;.:�<;"':''k"x`.,�tii '<.tis<>'>z>:>r '°M •• x ::Y::.v:::::•::::: :: x 35.00 ���},1.--} fl�..:;:�i,+r.,{.::}:,:.:��..,.r:.Y..�,,,..x.vt...:.:: :::::.,.:::::r.�..�..r.�.��. ;;K:.}}:;.:}:}}:v:;.}:{ BOILER/REFRIG +1,750M BTU x60.00 = �/♦� ..,:fir.. ,.}I`RSIC` N t� ./. } { x 12.00 = - J�. {��::.A�AN�}:v {Sr.{• ::.4:: n ...m.`u�{:v8.vxvnY:.vhv.:Av::Y:::.......,. :::•::::••:••:::••: •• ••• .vvvx .v:.v.•.v•rvvvvv x+vvv •.. HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 = . ` . TPU '.,.NI !C),I I TI I+i ;MMT NN. :s:> .:, x 25.00 = HEAT PUMP&AIR CONDITIONER 30-50 TONS p • x 35.00 = {.•vv..vv;r;::::.}::}:Y.;:;.:-.;::xiw 8:{{:{xr{ryr:yun:rry.W:rr.•:r{{::xn:}•rxrri r{.?i::x:n;4rs:f:{ ;vr�rM,.,:.{+rfKtni::it}i:?t:•':{{' ) EA `PUME' ,IB� Ot ITtON I f5t):�t' t }<�:=`v� x 60.00 = VENTILATING FANS x 10.00 = • ...},h•..,r/'"{.'.:}a�a{{::.,�.:;.,.r .....;�:�c.:;}}�Y!•:v,'w' yr}:x:::Y;:y}};.}}:;-; . r Y 3.c :<. f,<;z^c.;:: x 10.00 = • TYPE I HOOD (PER 12' OR 12' PTN.'OF HOOD) x 50.00 = +••}:{:?•r.•:.,C::..,:^^,•> n,:{.K;,.{:.::x'``>:::vy.:;;,:2;`••^.:3a}}.;�k'ti�•.^,:<,l`>}}i.•m:?c:x::>.`,::::>.:^�`�:% -: i• {ry}v{}:vh.•nlF.;•}iv+h.;,y moi.\,{i 10-00 CLOTHES DRYER x 10.00 z: ?<::r::H; .,.<v{,.... <::;}'::<?;:.>> f},fr..;h x 10.00 = • .........::..r:Vi?i-;:.4{� t�):2+?±iri:i}ri:i•?•:':i:::'{.. .4 }{vrn{.t::}}�try:mv i is{}: GAS LOG :::: - x 10.00 =Rtg.ggglianiNg .r.,V: ::E :,.::: h:`1✓:<: x 10.00 = UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = a`s }�:�������:::� � : ,:}::}:{.::::::::.:.:........... x100.00= `tiLIN�TEC ' S�Ap[I't'r11':�[ �...:::..t)Q��i)....'ti.'Uv:::,...:�::::::::::::::::._.� USED APPLIANCE<400,000 BTU x 50.00 = WAEVIAittiAttaiNVOIMIMISitiONIElli x100.00= AIR HANDLER<10,000 CFM x 12.00 - >> > > `INE x 15.00 SUBTOTAL $ Qi PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT FEE DUE =$ 4/.00 SIGNATURE LAeq Spokane Co Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675