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1992, 11-12 Permit App: 92010036 Gas Log 1-4 Poo al C s( '7`� o�EE\� C51-A- re-5a MECHAFS AL PERMIT APPLICATION FORD.•: I 1�W� Acar Information Worksheet JOB STREET ADDRESS: s• 408 \ -: Ov.J 2.D CITY/STATE/ZIP: SP <A JE , WA c/9Z c7 PARCEL NUMBER: OWNER: ScHLE -t-- PHONE NUMBER: 9Z8-41:) MAILING ADDRESS: S-Aii4.M. (Street) (City/State) (Zip) • CONTRACTOR: NONE 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 = i,,:r.:••};•, ,.{sati3:;•{.}s�}.? o:t�•Y.• c}'; {xk{y'.it{;;:•::�::r: `ii::: f� ��(f/��J :� ��M/)jA��Ky�M'•�y+�. )'} }.yr}f,:� i }rt7: ii}{4,Y :?f}i}i::y.. x 25.00 = t1�.-^`O.-•.{-470.:.'?v'1{4�4�7riiiv�:�;�:i{ti::'•:•: :x::{{{:•.ib:��'•.�•.-:�ry�Y��l,'2?�w'''vi3•�.`?t:x"ti::i{:i::'f.:::ii-: GAS WATER HEATER x 10.00 = {n,•{?,{:}v':y::;.'•y,�i:n:::.},xw,x: „��iyy.,{{.vi:x+fvy.4ti::xv.,ux�i•: .{•vy }` A IIQUIPN11 t+(1':;4t0tht� tl< 3' ' }• lII C : }:}}ti: a, x 12.00 = r,w .s. :z a}:.a.o�.ri, ,acwwa,.:.Www,.w�.•.;::w.w,,`"�'r<`a: ,; ��.�}; l: GAS EQUIPMENT+100,000 BTU DUCTWORK) _ x 15.00 = ,v:xx y,:.wy.;.rwx.:vw:rxx,. w.;a y MeV x 1.00 = .. BOILER/REFRIG 1-100M BTU_ x 12.00 = ,v.}::v:r,.•x::.,w.vwr.•xw,y. � way ,,,. }, ;,.,.x�t•,::..,�:xxr x 20.00 ' € ' ? :i }i: =' tfi:,.. w:•,:,:,,wf..a'r..{•:,...,eNce.,ad7%;ww}::awxwc? .•:,•w�.. t.{;�L:o:;:xau»+:o;. BOILER/REFRIG 501-1,000M BTU x 25.00 = y�:nyyJr�{{{:n1:{:�:x«�::i}l•r:•?r:rry:.n�v:y{i:./y.�x.�{r:{�f{{:{;N•:{.:}��;?3%rw..vey,f{Mxrxrx.•. y.:,,e y..,'{.?:f.•}3;t ' 2f7\l.l g it t1=•!�#l,T.� g 1•ta.:1 0 .`: x ; x 35.00 = • s}. .9,{5,.,,.,w...,.w.ra.w.vw;:a,�.w.''yr.,,,::{,ta„» .�r .,x.sti•.+,{•xta:a:: BOILER/REFRIG__ +1,750M BTU _ x 60.00 = v{{Sd:»,vrr{fr.:NxxyxL•.,v.}vw f :.vN; irxixv.:;{.�.yn r{. :F- EP ORMI? t� 1T)Ot ?}{<�. ' x 12.00 = .. .......:::i:•:.. .......... .....a,:.va..,,�.a.{..�,.ac»v.,wr,.,...w�w�.�.:w�..,.raMwN�ti�...»a,.,.v.,w:.,}: HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 = y.} .}},»:.pyo• }, �}•rs},«e mw,•r �,. •v r,., �v}4}::':�,},,.•-,r,.k:, ?H. #'1'r'P1 lilt T. I - liter e �£. a � } . -x 25.00 = „r. s`c..}.ax,,:,a,:a.•::�,w::•,:w.waf'•,.,v'h •".w;,wa:}.:a..G�'t.ssw.,{,axv3cw.w:'. .. .:Sc��.,}w'»?.ii. .. HEAT PUMP&AIR CONDITIONER 30-50 TONS x 35.00 {xr..•.:.}•{xv{rrvyr,{yrrn%FF:: yx:{IXrrryrn}w{vr:?yx:,�x4'+}'?xrrx{ rny:y fr?y�:}y jxr{y;.v{.r:,{9,v,{, }:.} :::::.�vh{vx:,,,.�.xw..,�:..::an,.:}r::}w:v._.?wu:.}��}}�xa,,:�v ,v}: �:.}::Y.�:x..,,-,.w::�.{vh.: x 60-00 VENTILATING FANS x 10.00 '" :;:: ;vyxyLfxnw x ,}. .,.} ,max. ?. x . '} x 10.00 w}::x•}:::•::r.,•x::::•,.a.. awxca,.vaN„a:,.s :w�::u.r '?r��.. E .�:�kwY:Lwc�3L _ ... TYPE I HOOD(PER 12'OR 12' PTN. OF HOOD) x 50.00 = «.}:.f. a.yyif^.L`$:''r''k•'<{cyi«,"�;y:;�?•?'':''if ;: :`+. '`'::r2•,fif',t 'a'::r}Ri - .. < Pl=:)iit1T�x f -5, :ix a ,:.v > i „i.:fi� x 10.00 = :::w:::::::::::...:}::.:.•::.�:.w.,w.Met}SG.{x.»v.,»•..{b .,.,,.,{N,a,t...,,u.-.»•.,,a:,,.o-,�,u..�{:.,h{».r,.•:.c..,£.vrt.:,aa CLOTHES DRYER x 10.00 = . 3' 'i\is ::?$ii4:{{,.:}...h:{rr{.,v.. v,.;My} .. . rr ii'[.xf`:{'{?}.f ,: :`{.•�<-;:?{y`y;:_..,c,^-xk,+}},; `�:JF`{.•}f .y. x 10.00 - i- �1a�}�' i f ::}• � 7"£ ,k :.`n \t;'•- .^-ri,'.� .a:{{.}}:w:...,,.....:-•.-_ 0 00 w�;4f�•}:•rw.o•:.,•:cvii'•:::'a:.'v.0�.'•:Y:::,�.•:}}sw�.�,.{o.cxcix..}£a:.trxa:,- ..;',,:;a:x ,doi2,:•:w}}}x?Stii:•:iaii}'•. GAS LOG - 1 x 10.00 = iof �.«.»•x;;y,;.::::.....ir.,•.:}»•:::.:.:r•y.}:..:..,•:{i:x.,::x:,;::..�.{ .,�,,,,:�- :�:.�,,:,{�,,M.:x::.•.y::�4s'^>:.rlti • y >MISQBL ri d Q' `{COt•Prtb t figs: :}:1 x 10.00 UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = UL...IN...tTE:.: }�:.:atin/A& Sry}xaORr::•xM.?:.,v.....».,M,....:.»y� rr:•::swE x100.00= USED APPLIANCE<400,000 BTU x 50.00 = �y ...tt:..... !.,{:kw:c.•#.:.,...:•:••::••::::::::::•::•. = ._.1=I���,`fi. ,,..I.,`,.. :..ax. .:.{.: . x100.00 :U:.S.........A...�'a,..ANAP?+'!.!rV'.•V177.V.�+o::R:�•::.}r .,.•.,:::.i{..};:......{{::•:::,::<i.::::{:.�::}:;}. AIR HANDLER<10,000 CFM x 12.00 = 4a.>�€ <AND� :..»:.;. . : '':?{{{{{�?,}}w:�.::.,..,......r.................................. x 15.00 - ...:::B..H.........::{:::�t�}:::'1 f��a:Q(?`!� ..}}}}:{.}:.}:.}:{:.:::.}•.:}'.x.};:.::::.::x.:{{:.>;}}:{.x.}:.:?.}:.}:.}}>:?{.x;::.}:.: SUBTOTAL $ la - PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT FEE DUE _ =$ 35 -. SIGNATURE 1pir� Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675