1992, 08-06 Permit App: 92006148 Mechanical Fixtures •
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JOB STREET ADDRESS: " . I.� s' ., . .. , . : -K< ,wsfiws w,..Ma,
CITY/STATE/ZIP: „ .., .. -: -EAAGLL NUMREq::t
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OWNER: 7 1 SC/¢A44,,L•..:r.n.5,r#r+ i3..a<.,rc. ,:i�+k'. i jPHoNt NUM C1(a• i...,.:4-; :i4.1%;114'12 7 i.
MAILING ADDRESS: .I Aa ,: , ,•:,,. , '.
• (Stroet) (fifty/State) (Zip) •
CONTRACTOR:. �hn t 1 is r ik.Puri # I ICtN§t NUMBE ,IlAtat'01/61i r. ;
CONTACT: RUSS Lt1fltE PHt N NUMPER:
l o t 4146 • sijekAtt@ i WA MAILING ADDRESS: P b
(StttlOt) (City/SI/116) (ti P)
MECHANICAL WOnKSHEBT/l'EE S HEbUL 1
NUMB R X EACH ••
DESCRIPTION •
,.�' O>`tlNitS • HUNtT al AMOUNT,
ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) 4 ft 10.00 ,
WOODSTOVEI11 Stf' r5 ;i;.:.,i:<:>;. .:;:,-;: . INIKOM s R 5.
_ .. 'n.h:.:W';i...::�:� A...... C }•}.ti ...M•Y. .•}j h,�.aSY'16 iyV: WM'µ{yY Yom+
GAS WATER HEATER / 10.00 -4;: • •
`GAS EOUt ME t 10.l cR' �p�y#
.
„y a,
GAS EQUIPMENT+100,000 bTU 1SUG'FWORK) >it X5:00 '.
GAS PIPING (EA OU tLEt) } zX , y 'fir r a— k1X10';, i . �,_ •s ` A
BOILER/REFRIG .I 100M f3TU " iI; 10:00 a
t3OILER/f EFtlIG iO IP 'f <, f$r, 4:.4 r , k X0,00 �'
.
..::..... .. .:. •::,.. .�:.. .... Crt •<� '
.. r..
BOILER/REFRIG 501 .1,000M STU
BOILEF /REFR1C I,OOOi-1 ......' . " t.. € y$ < n .,. S6S0..00Cis :
4..
BOILER/REFRIG 4.1,y50M STU •
HEAT PUMP &AlitOONbttibt O 161 i A f,. .e•,�c2;,,.«uY+-,.<'e�,:mr,�ai,
HEAT PUMP & AIR CONbItiONER 0415 TONSx .. x 0110
HEATA AftOif1' it3 }tJN <fr}t�k x � �
HEAT PUMP &AI q CONDITIONER 5040 TbN 1,5g t16-`
•
`HEAT PUMP:&A(t Oo 3 f i i i' ` o,, I ` # f
..- : ..: ..._... �:::: ..... t }�a '� t::3�if''� �VI�>gn'k+�w��xF,
4 a
VENTILATING FANS ,o-} a � KC �.< ., ":
•
EVAPORATIVE 000.(t <° x, „ r > g, , �. it '1�.CO'
S
TYPE I HOOD (PER 12' df` 12' fNr8F Htofi) r,. 1 .r
TYPE IIHOt7b ;' :::>�'k' `� '{�s r4 � $} ° " k
CLOTHES DRYER �' k °rti };a, 10 0" �fi • �,
RANGE r, :#„a,
>.:: .:...:. . �....f.. x ,. ., ,.,.u. ..
y yid
s x� JC �O.I�f1 :,•.i
GAS LOG :Mwti" �.� ..._ » 10.fH
MISCELLAN•EOtJ (N eNtI ` i r `{ tt 10.00
UNLISTED GAS APPLIANCE 1400,000'RTU • -k 50.00—
ULINSTEO GAS AN PL1A1 t 000 }� sr a x w xi 00,60
e N
USED APPLIANCE<406,600 STU • 50.00 A ..
USED APPLIAN( E: BO3M:<:?::<''::; i < > tt100.00
AIR HANDLER <10,000 CFM fl g
t q1�M•}
AIR H N
}r} .} t J � 1
A DLER�1� 00��C�M::< k 15.�
' SUBTOTAL
x .x w 3 " t r:: r ' ip�:'
PLUS!PrI CESSINf PE $ -2$.00 •
NOTE: MINIMUM PEl Mit ftE iS$85:00 EOUALS: TOTyAL PERMIT ,fir.
SIGNATURE
Wort I NM rOgdW Aur tiLie S f50ktif + Flk'WA` 99MO''( OO)46d4,--5875- ' •