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1994, 10-18 Permit App: 94010329 Mechanical Fixtures MECHANICAL PERMIT APPLICATION FORM qq- 03act Information Worksheet JOB STREET ADDRESS: // Ernd 6" // �/ -•' CITY/STATE/ZI : �d"it/it..r2 u5h ?12o(0 PARCEL NUMBER: p� 41-/4719/ eZ 1 ' ' 17'i/ OWNER: LI• ` in fir. �c�''- C� PHONE NUMBER: ` '1"'/ 9/ MAILING ADDRESS MbSEStk.46 I 'Z.... (Stre t) (City/State) (Zip) CONTRACTOR: 4/1,Cl h e ' /'�'L%VYCtti.c' ( LICENSE NUMBER: R/b All ?VFW 3 83 _ PHONE NUMBER: MAILING ADDRESS: E G 3 (.J4Ja4,� 5,044-e- 4)4,4 ?4 o7 (Street) (City/State) (rip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = •-0.::r::{nm..vM.w..w+:.,vnmv. �,,�:'bv.+ £, �. _.wl L40.1 10 �-Eri e• '': �s � aNOW • x 25.00 = Ai.vwJN�'3n4VA:1 .•;inVtnJw� nL�nir.!tn3(' \: '+: GAS WATER HEATER I x 10.00 = /D,o e- raEi' +ti.$..$..:0001#7, Ma@. / x 12.00 = /Z.00 GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = yp�p "9i. Mrr�[?nsxr;:i.Y::�rT } . •�_:`#:'>#?,.�:: .. ...�. .,. � f>;��~wv:>;rr��� �= x 1.00 BOILER/REFRIG 1-100M BTU x 12.00 = FS 4h.�•.�a Afge•.v. S 9,L.• $I�3� • :,.E4fak x 20.00 BOILER/REFRIG 501-1,000M BTU x 25.00 = 0.0 a a s � >;:•: '< x 35.00 = BOILER/REFRIG+1,750M BTU x 60.00 = 47fyytrA� a' Waf' ' x 12.00 HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 = x 25.00 HEAT PUMP&AIR CONDITIONER 30-50 TONS x 35.00 = E00 Reit x 60.00 VENTILATING FANS x 10.00 = x 10.00 = TYPE I HOOD(PER 12' OR 12' PTN. OF HOOD) x 50.00 = • • ArAW r s: x 10.00 = CLOTHES DRYER x 10.00 = x 10.00 GAS LOG x 10.00 = a" g l ;*: I ;: ;# {z;v. x 10.00 = UNLISTED GAS APPUANCE<400,000 BTU x 50.00 = '�.� . .. Vis"e e e ` : x100.00= USED APPLIANCE<400,000 BTU x 50.00 = $:.:•^ ^+�r r:Y:+•W'% ^y,..^:'^L::gym.:^.: !?•.¢' M,:r!< !S:.'.V!r.{{?j'� 0:0 Act# ;:SM V' •• .'•. affi4:tta*g ?",::#1*Z•r $� x100.00= .tm:iv:::•r:::,,.•>:: �.Co:.,, ..Vao-w.a..No-r..suw..:f.,�,.?ia>:xx•.?:m:,,..•r • is AIR HANDLER<10,000 CFM x 12.00 = !..x:c+.w..�vm: .,,,5^+r:,m+ar.�.m:ca:Y;.:.,. .!.•..,.o."y"'. k:4 rag Ntri M,•a'.....'.'r: ;inni>;. ?, :,y J: x 15.00 = SUBTOTAL $ PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS:TOTAL PERMIT � FEE DUE =$ 4 `too SIGNATURE c '� Spokane County Division of Buildings