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1993, 04-30 Permit App: 93003093 Mechanical FixturesGINGRICH HEATING E. 1023 - 97TH AVE MECHANICAL PERMIT APPLICATION FORM SPOKANE, WA - in Information Worksheet �,q1�C-', 89B-a5Ps JOB STREET ADDRESS: QO 04 �� � &.69 . ` CITY/STATEIZIP: " PARCELNUMBER: OWNER: PHONE NUMBER: !I A 6 - 1.014 MAILINGADDRESS: 1i7ROY E— �l�T�'`I Ape) r (Street) (City/State) (Zip) CONTRACTOR: LICENSE NUMBER: GIN GRA C-Y71e L.0 PHONENUMBER: A3R —HSa�3 MAILING ADDRESS: `rtia.3 �. 37 'AVL 5bo. wc" (Street) (C /State) - (ZIP) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER I XEACH ,ry• TTTTT• -r a 1 11 xmoo 10.0I=i0 .11- x 1.00 20.00 - 26.00 It 35.00 . 1 60.00 11 11 11 - .111 10.00 • 11 - x 10.00 )(10.00 - x 10.00 50.00 00.00 - x 60.00 11 11 1 U1+1111 �.r.�ie)MI `�i�rN•�h(s l�ii Y.��l.'��983 °11Yi nN {G t� :• 1 111x 1y® ([.�^ Y t0.P64"'111'%10 S�b AI,='��.f ��1 \.,_.. E t �P�,r,P'. �:�- �]' Aj fYh 4J' N0 1£"O P, ryj( 3 • 1 I I •Y 1 11 it tol®x Ri'^t:IPC'J e�TYf'•A,�C .f vJle'.n.l ^€`'T :® yp' ••� p• •' • ••� ®It • ® ry'� �'' tta11 111 ] ��pp ��: '! $ �tf..°l�q�i %C1b :bk:h' ,...i� v �� y � � w �. . 55•ys�5�� �C �� i'�5"1nld.'Aw`YAakid4i�.ei €n°k' A.. .d� NOTE: MINIMUM PERMIT FEE IS $35.00 EQUALS: TOTAL PERMIT -FEE DUE .5 SIGNATURE ' Spokane County Division of Buildings M V i P