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1992, 02-21 Permit App: 92000967 Mechanical Fixtures `�54D- ( (et( 22��YY `c� MECHANICAL PERMIT APPLICATION FORM °--a --. f 61 O-P-FIDCIti t`1 ` ` ` / Information Workshee l -3(p aS /V JOB STREET ADDRESS: ir N. ? o. 4l/c%°ci Gf /4`O ,,V CITY/STATE/ZIP: _„.c- c)1� PARCEL NUMBER: OWNER: 51(2e cod 0 ' PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR:Af, /,(9( -1-4 C LICENSE NUMBER: Aer7I/ 77 r PHONE NUMBER: MAILING ADDRESS: /C.�� r £ /217:1 /7'e7-kpu'•-l�/ . /...? (�‘ C+b►UG C ,,.. ( (Street) (City/State) (Zip) 0 i L T b C, S MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = :.; . ....---- MEPIER::-::MINE.-:.::::::MI}:.}:.::::;:: x 25.00 = GAS WATER HEATER x 10.00 = SEQUIPMENT<t.00000MP1OWDE / x 12Q Q . c, GAS EQUIPMENT+100,000 BTU DUCTWORK) .- x 15.00 v::�}.:..,v::Fi:hv:.16 ::::.v : vYv:f_w::::::xy;;;•%-?iS;{•}• -s?L:ii::v::viiY:.vfriLi:�i`_: ( Z:2:3) k . (/ BOILER/REFRIG 1-100M BTU x 12.00 = 1 O t ,a3EP: :;-tett= :::::. M< _ ;Its. - - BOILER/REFRIG 501-1,000M BTU x 25.00 = --:=_Nf.vm?rn-:;:.v.ro: ::.'?,:?:;C fi?}-:xx.:;-ev?x�:n::.: .iv::::::: :::: . . :... :: W M-> r 4_ :-:>:;::::::>:<:::::<>:<>;>f;=>.. <:::: x 35.00 = #�:�-� $TDA__ BOILER/REFRIG+1,750M BTU x 60.00 = •.y.�:rrxr?^T'.vq}:vvtv�ry:-n� _�•�:_w:Y:r'vx :F,v:;n - ]F.xvx::v .i:::•}•i.y--v}:vr.::-:..: �;R- t IKItP 041: M : [S': ='> > >: <� X 12.00 - HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 = H p> 4P .IIS" ,:O:n, .._..h.M;.::>._:: :-:.<_._..r,_v.---:.......:. ::.:.w,...: .:_,v:..,,-. ?.::::.;,.:; ::» :: x 25.00 HEAT PUMP&AIR CONDITIONER 30-50 TONS x 35.00 = : - 1+ MP ,r:.F.,..1,2l :;,.x m,:T 7 `>-::_::_::«- A»:::> x 60.00 = • :_.:.:•---• ---•----•-------------- VENTILATING FANS x 10.00 = jam:,, Hi };}yh:n _ -:}":'::}r-:??:i{};:_i3:-}�=`2•-rf Li--,-{ .:i::i_:-is :::Tn i{-±.r -: .-:::}.<::.::«:.:.�.,.}::� .�,....:..,-�-:::::::::._:::.,-k.,:.��-�-=:,f:.:»: : �,:}:�:-::}>:?:;:.::::::.:::.}:}}":>::::>:::_::: x 10.00 = TYPE I HOOD(PER 12' OR 12' Pm.OF HND) x 50.00 = Vegen��!w,f:_ ��,j{.-?:.:-:..::.-:,i: ::::::::}ij}}iTJn-:fvi:v-:-}:?i-::}"e:?:ix_$?+ •:•.r.-.-_::-:: :}}':::.•r:�i-}ri:::-::i::ii: T.--??{............::.---�•i?:-},:-{:vt?ii}'--_v_._..}'i::^::i.•x?;.•-.-_....--..._-}}:}}i:?:Y:}.S!iii}:.}i:ti}:� w,a-::r•N:�_-,.,,:_.;;,�::-::;;>:-:-:i}:.;:.::.}::-;:;::;i:_;;:;r:}::;i::>:�>:<.z:-;vs�:_<::x:::>;::::::>:?::;:::<z:}:s::>::?<:>:::>;<:::><:::>::>: X 10.00 = CLOTHES DRYER x 10.00 = •-,iyr:��::}��:::s::5?-:::;:+xi:cv:;4:::;::::c?:-:-:;i:-}.:i:•xa:;•.-r r}::::?.}�i;:.xa.;: -}:;::••:.._.}}::-:.:;� ,itatfa .r oi:}vii:'.??_:c;G:-:._.::.:.::i:i:A?:Y'.-:a:?:.:r:_:.: i::::2_::c:':>}.?;.i..:.:.:::.._:::;r:::.:.,.:..:::.•:..:.:-.>::}: :............::...._.--.....-:.-...::. x 10.00 - .....:.::......:::.................:.. GAS LOG x 10.00 = 1SQE .lNEOE S(1OTCOVERE aWHEtE;:>:::>:: _::: x 10.00 = UNUSTED GAS APPUANCE<400,000 BTU x 50.00 = :-.tNST D GASAPPLIA1 CE 00 000 BTIf :.::::: ,.::: x100.00= USED APPLIANCE<400,000 BTU x 50.00 = USED APP ,fiANG .400 O BTU >-:...: < x100.00= AIR HANDLER<10,000 CFM x 12.00 = AIRHANDLER>10,000CFM x 15.00 = SUBTOTAL' $ 13.oC' PLUS: PROCESSING FEE +$ 25.00 • NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT FEE DUE =$ " 3,a?5 SIGNATURE Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675