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1991, 10-17 Permit App: 91006887 Mechanical Fixtures . ........_ ____..... ,- , .. _, . . MECHANICAL PERMIT APPLICATION FORM - Information Worksheet JOB STREET ADDRESS: qe/--Z -E,.. ' F r-P--=--- '/- oe-3? CITY/STATE/ZIPk Tc'/)/C-"ffmki;zelif. ?Y• 0(.7.„ PARCEL NUMBER: OWNER:)6/;-l A- ee,/s7, .,/..; PHONE NUMBER: 57.2..cr MAILING ADDRESS:ADDRESS: (j-',1< ‘27- (Street) (City/State) (Zip) CONTRACTOR: Heat Transfer Inc . LICENSE NUMBER: Heatti - 1881n PHONE NUMBER: 328-3400 MAILING ADDRESS: N . 1008 Ruby Spokane , WA 99202 (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = ilWOOOSTOVE/MEMEIVENNiiiiiiiiginniiiiiiIiiiiiiiiniggniEi x 25.00 = GAS WATER HEATER /' x10.00 = 41e.,)__., tA$7019tp:m501**00.141:001(1N0.0001SEINS / x 12.00 = GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 .-- GASfle!Nq...(FA.OPI4g1) iii,i•,1:?:i:i:: ::::]iiiaiioii:,a,Aaiiaaain,i,.:, 2 x 1.00 = BOILER/REFRIG 1-100M BTU x 12.00 = BOIMWREFRIA1.11640:44.mmilegaggeillogip x 20.00 = BOILER/REFRIG 501-1,000M BTU .. . , x 25.00 = OILER/FIEFRIG1:':0001t150M.:STU''.:::**:* *:*:':*m:':::* *-:*:*'.::' ..... .,................,,,,,,........:::...1..... ,....-.....:1 . ..:. ::::::;:,,::::::::::,::;::::::::::::::::::::: ::::::::,,:: x 35.00 = BOILER/REFRIG +1,750M BTU x 60.00 = :.:HE4.,.r,--ppw.:kA111:p0NOITIONgF12:041700S .EMBERp: x 12.00 = SeS HEAT PUMP &AIR CONDITIONER 3-15 TONS J x 20.00 = tipsIpvpgiRi...kAlft .pil:pjppNp.3.1.5ip;::Ts?.N4giiiimiiiiiigii x 25.00 = HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 = HE0.:pompj4:A‘Op101TJoNgRop,.:TONO;iiigigigiiiiiiiiii :i4 x 60.00 = VENTILATING FANS x 10.00 = !: yomv..9.4TIvg:;--p..Qp.10..$..ailTiiiiiiiiiiingmeggilliiiii$iiiiiiiimisiiimg x 10.00 = TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 = ....- ..... ......,....:.:.:„.::„.::.:.:.,:.:::.:.:„.:.:,:„.:...:.:.:: .:,...:..:::....:.:::.:.:.:.:„...:.:„.:.:,.:......:.::...,...:.:„.....:,.....:„.:.::.,..::: TYPEIVHOOUXW*1'.:: :::::'i: :::i::*:'::::i:i::*:::'':::-'"::::':. :':*'.::':::::* *iii:'':*?*:* *:*:0:*1::::':'*:i: .......,...:.., :.... ...........,,-..:,,,,::::,:::::::::::,::::::::: :::::::::::::-::::::::::::,::,::::::::::::::::.:::::: :::::::::::::::::::::::::::::::::::::::::::::::::::::::::: x1000 = CLOTHES DRYER x10.00 = 'RANGE,'':""'""""":;'''''''":'.''''.'''':''';'''';';'';"'':'*':''.'':';E'''';''''*':'':'"':':'':'''''':''''''''''*''':'':''m''':''''''':''''''::':'''''''''*'*'*'''''':''''' .....,. :.,...:: ,:::::::::::::::::::„:::::::::::::::::::::::::::::::::::::::::*:::::,:::*:::::::::::::::::::::::„.:::::::::::::::::::::,:::::::::::::::::::::::::::::::::::::::::::::::::,::::::::, ::::::::::::::::: x1000 = GAS LOG x10.00 = if.:44-40.(4140.000.090:1WV0150#70.003.#.00.1g x 10.00 = UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = . ig(41AMIPS.qinite060PgiA. . :0011041KIMISMi'Mi!iiiiiiin xioo.00 = USED APPLIANCE<400,000 BTU x 50.00 PSMAt1ftMggIg400100"0111111111111111113111111B . xioo.00= AIR HANDLER<10,000 CFM x 12.00 = AtfttfANDERM10,00gFRINIIIIIIIIIIIIII x 15.00 = SUBTOTAL $ 1/47PC PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT 9- Ctt.O . FEE DUE =$ SIGNATURE , -.... " .40 - .i.,..." .1 111 Pr.f5,-15r V ' ‘11. LT • Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 .. . . , . . .. . k