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1993, 01-19 Permit App: 93000249 Water Heater (4{,3 --3, D q 6_5 . . ..,-.::,7,..,:... . .,• ,..„. ..:.:-r::...-. , .::. ,:...,:. „:.,...„.P\H3. ..,.z. : MECHANICAL PERMIT.APPLICATION FORM ,l( Q7/13 ^,� , �A Date I -7(4 JOB STREET�� ADDRESS: E 1 3 q)-3 Information g Worksheet' CITY/STATE/ZIP: -_.,p ole he- WA- g9al(v GPARCELNUMBER: OWNER: 1>tivtls 0 .C--)41/a 1 PrPHONE NUMBER: q 6/-447/ MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: Ripley ' s Plumbing , Inc. LICENSE NUMBER: RIPLEP1107B6 PHONE NUMBER: 509-535-1919 MAILING ADDRESS: 4104 E Pratt Spokane, WA 99202 (Street) (City/State) (Zip) 4_ MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT AN., ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) _ x 10.00 = _ G WOODSTOVE/INSERT x 25.00 = _ 'I-3d GAS WATER HEATER......... j x 10.00 = o-A .EQU:P>:::.:. i ;tt�34.C100 gT'U�INCt�71�1=5.:::;_>::>::;:::::»:_......, x 12.00 - v‘ 4 � GAS EQUIPMENT+100,000 BTU DUCTWORK) - x 15.00 = 3 d e GAS PIPING(irA OUTLET) x 1.00 = trt BOILER/REFRIG 1-100M BTU x 12.00 = ' sa w ':BO E :•Iattifr '. r::,,:{r.::::::::..::.:::.::::c:..:•:•.v'v.::a::o. = - - _ •.,,•:::::.,•:.:..�.:_::::a•.:.:.{:{•«:v• ..a:;':.:r•;�•::::.::�::::. w r :.. x 20. 0 - . BOILER/REFRIG 501-1,000M BTU : . x 25.00 = - - 4.� :BOILER/REFRIG I_,000t._- ,750M BTU :;:;:,:':;::: :::::::: x 35.00 = BOILER/REFRIG +1,750M BTU x 60.00 = ' HEAT PUMP&MR CONDITIONER 0.3 TONS x 12.00 = y HEAT PUMP &AIR CONDITIONER 3-15 TONS x 20.00 = (1, HEAT PUMP.&AIR CONDITIONER 15.30 TONS ... x 25.00 = ---.3."-Z • HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 = •HEAT PUMP &AIR CONDITIONER+50 TONS x 60.00 = c' VENTILATING FANS x 10.00 = ::EVA P. .RA. - .( .. ............. 1=..C.00.LER ...:>::>:::>=:»::»::»;::>::>>::: >> >:::>>>:>>;>:::»»::»;;>: >: : _ , ..........,......................,.................------=:S:-;;=:;:.:::..........:::::.:;.:::......::.;;,;A.:.:.;:.::::::::::::::.:.: x 10.00 � � TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 = TYPE.11 H = CLOTHES DRYER x 10.00 = o 'RANGE< .Carli' '> <>«>>»nine<<>>' `<> dia >>> ...........:C�::.... x10.00 = GAS LOG x 10.00 = - -ry::rvv.wxr :n .nv'YN?'+'?;rr+`x.•+xw�ay.:iv:;•{:;::::n ::x:{#n. v:_j}.S.{:+Lfvv7 '� MCS .€,ATN U-driis_U' l3VE EQ SEWl E to x 10.00 = 0 :-xL..r . V UNLISTED GAS APPLIANCE<400.000 BTU x 50.00 = d �UC;iNSTEt3A = .............................. ..S.AI?�.ta�1NCE��:::.OQ 0l�>H'txJr�:`<< �<> > << ><>««� • x100.00 USED APPUANCE<400,000 BTU x 50.00 = . i Y. Kms•,:,�:;,::::::.:,{::<;;�:�� }:�:.�,,{::::;:.,-{.;:.:.-. r�::.. ?:.vi :.}:.ter:::?'F.ii:Y, S _J_ .i1.SE1�. av=,• <;;:•:::'., ,#:•.,..,v{;-:r::. x100.00 x.:.xv.w.wvopbt.:� �.w:c�.; w.• ,:..i ..t,•.Cdcan.•.:>.-:::,•x::52%=..::'#;a:^vY:.:•: 5�.;{{;`r•.'^Eo:.:;r`r.°: AIR HANDLER<10,000 CFM x 12.00 = e) <i-,. '111 1. R.t 1AN_. Et.:..t0 >C ;:M:».::.:;..::::<: : `>> >`:>:<::::::>:>'<:>:>:>:::::<::>:'r> = O ........................................;:;:.:+: <.;:�:.;>::,:::.:;,:.:;:.:;:>:;:::.;;;;:.::.::;:.>:>::<:»:<:>;;»>::»::»::»>::::»:<:::::»: x 15.00 SUBTOTAL $ L a PLUS: PROCESSING FEE ' +$ 25.00 NOTE MINIMUM PERMIT ' :E IS • .00 EQUALS: TOTAL PERMIT FEE DUE =$ 3.500 ) 1 SIGNATURE ANIL Spokane County Division of Buildings West 1303 Broadway Avenue Spokane. WA 99260 (5091456-nA75