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1993, 04-15 Permit App: 93002511 Mechanical Fixtures°k3-2511 MECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: E 6907 9th Ave CITY/STATE/ZIP: Spokane Wa 99212 OWNER: Tim Frye MAILING ADDRESS: same #7022 4-14-93 WooD N Pk- Lao PARCEL NUMBER: 1k 24 •O44o r✓ -3 PHONE NUMBER: 928-6285 (Street) (City/State) CONTRACTOR: ST(TRM HFATTNr, LICENSE NUMBER: STTTRMT*710QF PHONE NUMBER: 325-4505 MAILING ADDRESS. E 204 INDIANA S1OKANF WA (Zip) 99207 DESCRIPTION (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) <IN Qi TOV I .NS .t '1:::. >. .:x...., `.4.v>;{.:::.:.....:::.::{.:yy::....z� :4.4:. GAS WATER -HEATER, •n:{r{ M1y: 1.:.:.:..,.... •Y;n. .K• tl' G',iC• ....: YO .y . • . ''..-1-1010011103g.011: t1) ..: :: '..luCtR 3C E��$Z :,B.hn,;,: A\ '.v::: �..vrnix:i.�vASlr..:Y:.,vv�v: . ... ... . : ,.. x.1114 . ::::.wrr r ::: n•.v:.•..... v:xv. -- :: v a ... GAS EQUIPMENT +100,000 BTU DUCTWORK) •BOILER/REFRIG 1-100M BTU BOILER/REFRIG 501-1,000M BTU BOILER/REFRIG +1,750M BTU HEAT PUMP & AIR CONDITIONER 3-15 TONS \ri..:.... , . ?•{.?..,:.•y}...:' :: --.yri. Wg��y..'•vv HEAT PUMP & AIR ;COWDITIONERS.30-50 TONS VENTILATING FANS `4 TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) f 0 Y r.;p:::1.1:s:>;>$sr::.'-.•�.•.,�{,.? i•. <:;:; at'"ti {y .: k{;$,; •�.y • •';''' k/.: -i." CLOTHES DRYER .... .Yf:'a>. Y :,p • }h:ir�{k' y„{ ; , vrx::.w::: nv. n::.v.:::. n .:vyr: J:�,ti„'•:{„4: C4Y: T GAS LOG ��.y�4:iyf�' FI:;:'r,•r �.-.?::.;iiJ+f? v. v` J'' �h'- �n ..�••.v\.V?�ti{'i?P.{!•.i{�{:'v:u:{:-i:<-:iy 'i• ti:., , C.1' . nv:.....-.....w: vxxxn,,,:»v:nv:::• • tit-:,vrtiti�v::,rw,+ - Stw.sv - -: -: v::. v .v. • %:-� '::: {+ :Yi UNLISTED GAS APPLIANCE <400,000 BTU •l�..r..:.wA:7y1;*Mi:M(.;\vr..��cF':� USED APPLIANCE <400,000 BTU :USD;AFPLIANG•40�i�pAi"t��.:h..? AIR HANDLER <10,000 CFM om ••v<1 NOTE: MINIMUM PERMIT FEE IS $35.00 (ZiP) NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x 25.00 = x 10.00 = x12.00 = x 15.00 = x 1.00 = x 12.00 = x 20.00 = x 25.00 = x35.00 = x 60.00 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 10.00 = x 10.00 = x50.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x 50.00 = x100.00 = x 50.00 = x100.00 = x 12.00 = x 15.00 = 1 10.00 1 12.00 7 2 n SUBTOTAL $ 24.00 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE _ $ 49.00 SIGNATURE Spokane County Division of Buildings West 1303 Broadway Avenue Spokane. WA 99260 (509)456-3675