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1993, 06-08 Permit App: 93004458 Furnace, Piping 4458 ()IZaq MECHANICAL . 361 PERMIT APPLICATION FORM Information Worksheet ... '8,/ Tt� JOB STREET ADDRESS: I aO�- 1 E " �� CITY/STATE/ZIP: lz>�w� PARCEL NUMBER: OWNER: it l 1W �S Z� PHONE NUMBER: " MAILING ADDRESS: �d aZ (Street) (City/State) (Zip) CONTRACTOR: 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 = ---------------- x 25.00 = GAS WATER HEATER x 10.00 = 2. 0 = x1 0 GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = x 1.00 BOILE• R/REFRIG 1-100M BTU x 12.00 = AIC: >; >'<>`< » >> <>.....%........,.......,.,......° x 20.00 = � I Ltd{i��i= � •:1014°4--:� :: ::: .... .:.:..:..:.....:..:........:..:.. BOILER/REFRIG 501-1,000M BTU _ x 25.00 = x 35 .00 = BOILER/REFRIG +1,750M BTU x 60.00 = :.:. .::::::;:.:.;:;::::::»::;;:::<::. . ,. � x 12.00 = H <;: :;:>. .P� IB.:cOND..iTa:O 1E ;0•3 O"S >« '>:;;:;:.;:; HEAT PUMP&AIR CONDITIONER 3-15 TONS x 2u.00 = 2 .00 = x 5 HEAT PUMP&AIR CONDITIONER 30-50 TONS x 35.00 = H r=A:.':pum ' 'AtCONDITIONER: S:.;;::.: :.;:.:::::::::. x 60 .00 = VENTILATING FA•NS x 10.00 = :::: :::: ::: x 10.0 0 = E1/AE�gI� '�`IV�COOLERS ........... . ....... ........ - TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 = x10.00 = CLOTHEiiregielL.S DRYER x 10.00 = x 10.00 = GAS LOG x 10.00 = x1 .00 = MIS.;:; :::::::•:::::.:.::::.-..::.(.:: :....:......:...: .:..:...13-. . 0 UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = 1 .00 = tJLINS'T'�1 >�AS�A PPt-- 1400*,;-.*:-..- J i��.;;;;;;;QQ�t :.::;:.:.:: :: : ::::::: ::. x 00 USED APP•LIANCE<400,000 BTU x 50.00 _ 1 .00= il1S.a=QAf 'a!1NG1_ ;�t�kp.QO.; �;,;:.;:.;;;:.;;;;;>;:,:.;;>:.:::::::::::::::: :::::::::. x 00 AIR HANDLER<10,000 CFM x 12.00 = 1 .00 = Ala hr�r�r .6151.0;00.0....„ �::::.::..:......... :;:.::.:::::::.:::...... .... ....... x 5 SUBTOTAL $ I3.D0 PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT Q FEE DUE _$ � " y/‘(:, 7, SIGNATURE ,,,-- Spokane ;ounty Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675