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1993, 03-15 Permit App: 93001483 Mechanical Fixture 5 aC-1 LI. f a� 91 ?3 ( J bt-0N o - & MECHANICAL'PERMIT APPLICATION FORM .y Information Wo sheet JOB STREET ADDRESS: 6 t' t�-- / CITY/STAT IP: '��t,.,r 7i �� PARCEL NUMBER: OWNER 4 ' c ' �� PHONE NUMBER: MAILING ADDRESS: 6, !=7/f /Os���.7 (Street) (City/State) ( p‘ ,fr; CONTRACTOR: LICENSE NUMBER: jer g5 4 ONE NUMB R: _ _ MAILING ADDRESS: -j 7 /79-4 .,•e- / 2/__ (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = ;::}:.}:^:•"'":':::;:{i{%.:Y:.i}';F..;};..•:{{{:r::'yyt}}y::: i':i'}y}};iii:-`v:? :j is;iir%•:{:•yi:::..{.{}pv'i ��:{.v/;: "}:/..•7:{f•:•ii:•.:•'•i::yy:ry;;it:::y�i{L{i:•:i: ,y3M)]i` ;.}:<::;::}::::y ,:<}. t:,, :.<:. : :.::i3A:::.}:}::.}::.:;.<:.}:.:K :•::yr.y::. x 25.00 = ::::::::n : vw::::::n:v:.�.v.�:m.w::r: ::::: :n- :n..; x...vv:.vvn{.. {•:?{;:{?;•v.:;h:•�:.a::n :r::. GAS WATER HEATER x 10.00 = 0AgitatWati .`. .;:{,:.:_;ry'•>.,: _ •,••f, / x 12.00 GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = .x �,AA� .}:I.}:IN`r :tIM* rn : %&:a::{:,{:,...:-:: :., x 1.00 = [ r BOILER/REFRIG 1-100M BTU x 12.00 = ':{t > ::�:•�y�:••i ;: 'ktia: . - . •-: :_.,.,...,k.,.? :„....,.,.y'?„,..„ x 20.00 BOILER/REFRIG 501-1,000M BTU x 25.00 = ,v,.;{y.::,.y.}yy?u:f.;J:•f:::xrc:;:{:;{ i1�9�'{{;�+x::{{{.v:: : w�fy,v,: ::{: �y/+�1�. �f�y �y� S:{% :}: .ryfV.f{,{_si•'.h}i}':{i:ii:;r.{ilAWf:::'i,'s. =. _.. ` 1+ '[`= M( #.. '.; .:.; }:<:µ :A:.}:::. x 35.00 ::4?\'l.+ri3[�{70I0FiW.:::: .k . x. .. .•:ta ::.Sy: •::::::::.:....o-r -:::. BOILER/REFRIG +1,750M BTU x 60.00 = :,.{:: :.+}y :t< :: ` R : N.Ba :: :} .:..:: x 12.00 = E` '� TSIGtC� A, � ft��fi�,::vM.:;�..: .��:�.�n.�,,.:,.::w..�.:.:.,...:.,,..���ry-:}: HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 = :yy:..•rfs..F•::.},:,sy}, :y:}.•.}:,.:.:}«,},y,}•••::.:{� ,.m,�.,,::•r+'4C`w;:.''sX.?.f•�y1 [ k ' OJ ; 1 10Tk „' 3..; „NOV x25.00 = :...:......... . HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 = ::::ff..•:rlS:i{ivx.;�::::{x::i:l;wry:::•:{.v:Tnw xnw xx{xr:�.•Sv ::::ii::•S�r�:ity - t;1�«�A...:tI ki �I : t : N. f )T e.-41.•- 0' l' NB-� SI ; } ::>: x 60.00 VENTILATING FANS x 10.00 = f'6.IA. 'NKCO: t }?�; t f ''' xw x 10.00 TYPE I HOOD(PER 12' OR 12' PTN. OF.HOOD) x 50.00 = tit :{:r:;r,.•�?:�::w,<: :{;:ryra: :}x••:+.•.:;c.;sv;tr; ,�*:c;;::�;::t:{zi?;.r: r•`•: . `<p C!{:.?,?:rtin�•y I .y:,>,::::.; ..}: ,: NBLO ::. :;: ;}.:{:;::: x 10.00 CLOTHES DRYER �ry x 10.00 = :i:;;`.;•;<-.;•:::`.<iY:?tr i::#itis``•} :v.:`•'<:t'tt'?:v .�•.•••`'i '•''R`Sy;,'�''\:i..?xxyti F:.;?.....{•y:: --3r.-}:: :��.e•." :{{}:w}.`}fi.,{+:-:;fy:tf.;::::;:':}:N.x::f.:{.y:yY •� Gy. .:y<x..::-}.Nfi.•.:..a,::,:1t�+,s,}..... x 10.00 = :',••:;.;n:r:::ws�o�:::.,�.:,.,:{;-:{;y�,,.'osc::?: :•;:t;•:;.� .:{tt•}`."w'•i.• :�> x,u•.::`f�<•.Nfc;,,F•:},a'�L.w!;tr: GAS LOG x 10.00 = :.:. ,;t;:.}..}::,:::�.:{:.}.{.:.{t.,:�::.„'...wrv.,,.,.}.ry:.,::::?:h,w�;...,.:�:.,,w.w{:n::::.:.::::; .`� ' ``� x 10.00 = t,AL A t I (Ott' `C ; :.tant 1<-tle `,Nz: ....:.:.::.:......... UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = fr1y:•:f..::.;}::?{.::::::y.•,.,..{.:.y,}•;:::.:::.}r.:K.;:,,...x>•:r•,.:.}•..;a,.•••:.,,,...,:,•y.,'','•::'•.,t£ i::ry;..8t.':7#: :y��.y;:n',..' .;I. :.. .t: :.,<>y „,.;: x100.00= USED APPLIANCE<400,000 BTU x 50.00 = ..D'..`f} ,::.; ;:r:.; ::.NSr-: :.:Ii:.s:.:.:.}:;?;>jy:;;.}::: x100.00= AIR HANDLER<10,000 CFM x 12.00 = »:>v,,,,}:.:,{.:.{.;.{{.;..:{.}.;?-..}::;{{.}:?.>,:}:::.::.:::::: x 15.00 SUBTOTAL $ PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT 37. FEE DUE --$ • SIGNATURE Spokane County Division of Buildings Wa t 1 nnn Rrnarlwav Avani in Snnkann. WA 997f fl (5(191 45A-3A75