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1993, 03-22 Permit App: 93001684 Water Heater, Piping MECHANICAL PERMIT APPLICATION FORM Information Worksheet • JOB STREET ADDRESS: / / 3 15 Z CITY/STATEIZIP: 1U�' , RCEL NUMBER: T2 j ctO l 7 • OWNER: � rb t 0 • N o-t fe--- PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) (Zip) • • CONTRACTOR: Aqua Mechanical UCENSE NUMBER: AQUA MAR 1 7()Qr. • PHONE NUMBER: 487-0103 MAILING ADDRESS: 2407 E. Euclid Spokane, WA 99207 • (Street) • (City/State) - (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE . NUMBER X.EACH DESCRIPTION OF UNITS - UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = • vV' x25.00 = .. . .4 v 1 w.. ..:,.h,'v.. GAS WATER HEATER / x 10.00 = • /t�.`, CO. • • x 12.00 = GAS EQUIPMENT+100.000 BTU DUCTWORK). .:x;15.00'=_ ._ 't'` .. ^'@i l ;„ >> .` 3 X::.1.00 _ • _ •. ::1 a,:6k) BOILER/REFRIG•1-100M BTU • •• • x12.00 -_ : x 20.00 a •• 4 ' BOILER/REFRIG 501-1.000M:BTU^ x'25.00 =: ej.3 ; Ks'xfA,, . x''35.00:0- BOILER/REFRIG+1.750M BTU .• . . . ' x60.00 =. x.12.00 = HEAT PUMP&AIR CON�DMOO�NER.3-15 TONS x20:00•=•- :.:`'=1"4-:•:-•:: :--: 9c25.00.= ':; fin.. Z HEAT�P(UMiP&AIRCONDITIONER 30-50 TONS " • - x35:00 = --' ;t �tiS ° 1s _S q10'\g.R \?' r n6D� • X 60.00 es ,.x ..• . VENTILATING FANS x 10.00 =- . : :• . x 10.00 .L TYPE I HOOD(PER 12'OR 12' PTN.'OPHOOD) • .x:50.00 = .' .• r . t ) .. 'x-10.00 _:• • • ~I f• - CLOTHES DRYER • ... • :.' :x10.00 =• ::• . ; x10:00 = , . GAS LOG - - x 10.00 = isf, ® ��.€cQ ;�� � >r x10.00••_ . . . _ UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 lq 'R`P 'R 0 e b tiff, x100.00= USED APPUANCE<400,000 BTU x 50.00 = P -: '. x100.00 AIR HANDLER<10.000 CFM x 12.00 = . . • AR...t<144.04,al?' 'i 9 .•A �v\r8A�,2a K•� bk .,.+.. 4.. .. .dU � x 15.00 =.. • - • SUBTOTAL $ I I.., 00 PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS:TOTAL.PERMIT . FEE DUE =$ SIGNATU C s Spokane County Division of Buildings • West 1303 Broadway Avenue Spokane. WA 99260 (509) 456-3675