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1992, 09-30 Permit App: 92008247 Furnace, PipingMECHANICAL PERMIT APPLICATION FORM O f) G Information Worksheet 8 JOB STREET ADDRESS: E. �Za�Z �/4,CITY/STATE/ZIP: Spokane/14Y4 /`//� %e0(o PARCEL NUMBER: 7//5- / 1 . 6 t:10. F' OWNER: David Edwards PHONE NUMBER: 65',6- 86.e/ MAILING ADDRESS: 6 / 9 Fr /S t Ave S k? e s i/,4 920 Co ' (Street) (City/State) (Zip) LICENSE NUMBER: PHONE NUMBER: • CONTRACTOR: MAILING ADDRESS: (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) GAS WATER HEATER GAS EQUIPMENT+100,000 BTU DUCTWORK). {o � {,,' .:w.,on;crr• --t' ,°{>{s`3oi;.•s#{::. \�, • 2o1a' ..,�it:;tii::;:�Yaa:: BOILER/REFRIG 1-100M BTU_• •, 11yv�}w1Ah'.v:H:•v,y^:•]�Ln"•:N"i•.':'v�::r]f:{(}v�AAA��:- na;nyn„j�y�rr•N•wvtv}v{}• v}� }}hy.:p�v%IMV Q�•�:4' �•, > OAL P REf1 1Gi• O'#: ,.���]]lr,, ., #' r r'{+T,�}•4}y, ••}}.viv.:•.vt•.\ti:W.{f$.{}nVr.'SrAir}i:W}:•%::•.:•.,vti, '•3w-``fi}.i{:v x i]6}#-$ •. iv}i[{C`.}iC•:tiv: BOILER/REFRIG 501-1,000M BTU rxr::.r:.r:::.r:.,,rrr.•::ft{.::.::r:a.C.�:.,�:,,,:r:.a:•,.w ::.:t•.r:.t„ BOILER/REFRIG +1,750M BTU • ..... ?4 Y W:i-•MM:SII'UYk':tYl':1i4:{-Y{ffV.,i�i:Y4:kW/I:/WCiK:k.41.N�i.f �l HEAT PUMP & AIR CONDITIONER 3-15 TONS :::.}:•:,:;:::.t}},:;:.}r.•.}}•::.•.y�},•�}•.:}•`•,.,1.}w���• .,�},t,•..�rQ�. ��{ •:wfi:t E.:f/��,;$f?.lti,:. }r}� {;pti}� vv" ti• } { O1: vn P3 W a}.T ••M 1l'1Rf:{{r}.V.4 •.W HEAT PUMP. & AIR CONDITIONER 30-50 TONS {,{x:{:r:::r{::{:{r:,.,{,:{«:{.:t.{{,m{w:::.,r:¢.,r,..r,r.,.•:.�{:,:,r,{: •., ter,{..{{, ,.<X;,,M:«M{;;{{ } • •:,: • •r{r.• • . • • v • w • • - • v • •: vnv •nr.•x • v.•::.Jwv:.•.•:.v:x.•.0 :uw,rvx:.•.:•.Aw:.:v: re: xvrtvi:.wArr}r:: nrmYrr\.r.:•. VENTILATING FANS :.}•.y:,{.>rnx%: {::.v.•:n•:vn:: }+.+:/.:%.ry^,r,wttt'rj>:V• :: • {�,,.^:N;.>'v{.n • • • ..:.r ::. ..... ....... .w}}»}} %•.,I.a•.•.,•}«rxr:,;M:,u aY.h.%a {$ia'E:�.{,t{N�nt°a°cc; •l{d•:i.:n %w.eswy.;k: TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) :.;>•:.:::;::•; {:.}} :.:.}r: {.}::>t•: vr`$'3:`•:r'�`:.M,:`:.Y'": i}� `}:}•'•y::?};.+.�.is}::}:'fir{%`•':4 .�,;{{m, ;{a$' �.;'•�{•t:^:; 22. ..-..f•J{` tii:.'i •.$::4: {;;f-\,{i:'i:{ti i}#ti iFi?:i:•:{•%R�n?�..v.. v.•.t`iv} { .h 1\ . : • ¢$:v:; •: CLOTHES DRYER • GAS LOG ti- 4.F1��:l-,-f.�f}4�!'ce.wN.�:k::�1;�1:*%o-:T:`+/4/:T:#til::F�vj$ascrv4�:!:F:a.41';1L::`:•.::`.•4/::: n, {: t:ti:::.•.:r::::::::nv:. tiv:.vv:nvv: w•. v:.}{v::.v::titvn:vx:.wnw.w:ts.n:-.v:,.w.v::.vv:.:v:}x: ri•:: v.:w.. :•:A:: UNLISTED GAS APPLIANCE <400,000 BTU USED APPLIANCE <400,000 BTU AIR HANDLER <10,000 CFM NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE - (zip) NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x 25.00 = x 10.00 = x 12.00 = x 15.00 = x 1.00 = x 12.00 = x20.00 = x 25.00 = x 35.00 = x 60.00 = x 12.00 = x20.00 = x25.00= x 35.00= x 60.00 x 10.00 = x 10.00 x 50.00 = x10.00 = x 10.00 = x 10.00 = x10.00 = x 10.00= x 50.00 = x100.00 = x 50.00 = x100.00 = x 12.00 = x 15.00 = : SUBTOTAL $ PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675