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1992, 04-22 Permit App: 92002739 Wood Stove 2��J 3����� 2� 5� 012,- 213 �� P �-�;�-. 59 MECHANICAL PERMIT APPLICATION FORM " ,, ' o��w �,n ry Information Worksheet 2� JOB STREET ADD,.RESS: i,.`�) Cf l l 4�• CITY/STATE/ZIP.: ,,' ,` , - F PARCEL NUMBER: 4, ,�, �� . ck+ fir' OWNER: ( a i `.l ./: i' if- ) I ` ! )1 i. (PHONE NUMBER: �i r , R MAILING ADDRESS: ��i"`�"1 j 1�� ' (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 = ( �it .<N,.nS^•; r.?.t;.;�:•+.:}.'•:: :: • };t{.•:fg.mi2:{Yim.�✓ ,r'{ <,y',, S'''''''''''.4.'",';','-',7:1:"::''''''' r r x ' i*, �• q a" W ::. ;,..: ::..}:.?.,.::: :,<.}.: {},::} ?.fr ........„:„, { : x 25.00 _ .,.4 :.....00�� � F�!'"417.. .{•}:,.::.}}R•R!?-}%•}�'•:`:.}x...,.:. C .. ..:...}..ixCS.a...L.: � ^Y. � , GAS WATER HEATER x 10.00 - ''''''''''''.:'''11,....\;:.'„,.'',',,,� 1 ` ,',t iso •; .��AS;?I*.�1UiN.IT:>�.f00•t ..,-0,H..1; S D���.}?w}.:a:�.Q ,�:..dd, x.1 2.00•=• �F:" :„,,1„.,....,..,u,..,-..0�- �,'k , > . GAS EQUIPMENT+100,000 BTU DUCTWORK)aK x 15.00 { y+;•O:: �S�}�rrrrvJvty n:,r{ Y ::f ii i� ,•"-•n x ,,,!:=.,:., ...:: v\T:•�I n..{ {{.'?:}�.rr:r..4•...,,... t:rW`.r',.a I� 1.00 idK,::.}.•}.,::: ,�::. •.:�.<wr::.•}}r.,,,•L..•}aa'•.5. }>ua%-;LcL}}rw ..•v .,.,, _ BOILER/REFRIG 1-100M BTU. x 11125. 2.00 ter, •., >.,.} ' ma :t t .` ': G I i<:- pip i :::w x 20.00 .n�•1,:,vv....-. .. v.•?i•:,�.}vi•Irn•�-0m�}�%}iii..... L BOILER/REFRIG 501-1,000M BTU. . x 25.00 = i.r Ot3i ! 1if=1=R:1Q1:���00��.}:<1:` t�.MH7t��v::L:::,.: ..�:.-.,..}:{.,..} _ x 35.00. BOILER/REFRIG +1750M BTU': x 60.00 :::•.::'•}'•}w.•-;•';•!:!: }•: .{ .:y:::f.•.•'••i�.}:•. w:r{n::;:.:..v::::iUv.?v,:ni::nxw.•;:'r:.v:ti•:}�!yr•;%;:r,?}W:<:•::ili.. :.- ..:. , ... ��.'yy yPI t yII[ kryi ' y %{r 0 x 12.00 _ _ ;,* HEAT PUMP&AIR CONDITIONER'S-15 TONS . ' x 20.00 - . .. -.-.,-., • : .3� ; > x 25.00 =. .., . nw..v::::�vvw::.:v::rr.•::x:::::.•.:vv::::. vvnAv}.vw ::..,. v:.vrmr.nvC,4,S^G.vkh •.v.,,v..nn•..:�} '' w 9.i `� .";i HEAT PUMP&AIRECONDITIONER`30-50TONS '` x 35.00 = '` t p::.}•::r.?•:::{{ :Yn :d Iv n 3...: i' vf+�L: t.,.�. j tEA'1` 1M ? C: ; TIiNe :2 5 `O!S `.s*>?A:�;>?' . ' : 60.00 = ... ` `F ,- ; VENTILATING FANS % µ x 10.00 = '; " ' ' r }rte r } ,y.�{ye':}/,:.,„, J 4�x }�}+C,:,gr:l.'if yx5}�},{Y4 }^,tr s' E l t'O> A'R1� L F! x$$d 1�8{ Ylh L.. .: 4 � $ -.: F$+v 4 x 1 0.00 _ X,,,v ...� ... .......}.v:.:.....nvvrr. -.ra r{. rhrv.ry.r. :.�?.k:..i .:.r >form r.r.:... TYPE I HOOD(PER 12' OR 12' PTN.'OF HOOD) , x 50.00 _ `� ' " i° ' :.•:{?fir::!.:a::•:.: .:•.v:: ,r.:C}%::•:::•rrr:}-{:,::*:::?,....'r•'•isr.:' f.•:!:.}:1{�e�~:;:}::i•:::j•,},'.4: ! f: �� 4V41�'::.}`:tiii:!"::i?ir;y:::�.:.:.v{.%:tv'•v-:r::..::.$,�...w-rw:::}.vvr: pd x 10.0 ;' �°. CLOTHES DRYER x 10.00 = . s '}�v:>i, x 10.00 i GAS LOG x 10.00 = t�tl3Cltt�t,A t i'U$ N G t S W x 10.00 _ " UNLISTED GAS APPLIANCE<400,000'BTU S i. °;" x 50.00 = I :. I':`: :f% :. ... r :><:<::; <> =:<::<.:: x100.00= O"LINS'' C ;.. K A PL A14 ° ?I Q4 1.::::T ::L USED APPLIANCE<400,000 BTU x 50.00 = :iJ� t�>:.P;. `1.N. E:: . :� ...,>F.:.... x'100.00- ,�.�....�\... A....CC...........+.i��+ii!�:t�'f':U. ''> �< �r::,........:..-.,.:�:i::.}:.}:.:{:.}:.; AIR HANDLER•<10,000 CFM x 12.00 = At1�..H.............E.........1t�CD4.+ .. RKY::.:::�::;i?:::»:;?:<:>:::r;>::::::::>:<:;:>:::><:><:»?<»::::>::>::::>::::>::::>::> x 15.00 - SUBTOTAL $ a 7.cy PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT FEE DUE =$ ,f-'r SIGNATURE Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675