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1993, 09-13 Permit App: 93008232 Furnace MECHANICAL PERMIT APPLICATION FORM "' 8132- Information Worksheet JOB STREET ADDRESS: / /-43ile) / 14 y CITY/STATE/ZIP:. .' /-- - /4 ''_ PARCEL NUMBER: OWNER: IQ n''G-e-v J j-y,.�-kL-t PHONE NUMBER: 9'. IT-y . T y MAILING ADDRESS: (Street) . (City/State) (Zip) CONTRACTOR: 1\) c+--v-ty______['1/ 4 --q LICENSE NUMBER: /2 / / PHONE NUMBER: MAILING ADDRESS: , .5 I o ? l .-mac-N 1 �'�'L e- A M , -� �f� , •, i ®_ (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = ...::.:.:::..;:,..::.::.;:::::.:::::.:.::....;:.;;:.::::.;:;;:::;::.;:;;;; x 25,00 = :WOOD ::_::::.::::�::::::::: .: :::: .. ... . . .. .. . GAS WATER HEATER x 10.00 = GAS'EQ IPMEN T 0G O00 OTU(INCLUDE5 :::.... <<` '< `` x 12.00 = /..,. Q o GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = T :: :::>::<::giiii ::>: ::>'::ixiii.<;«: <: x 1.00 = SAS;:�?I#'�,��::� �;::;� ;:.;:<.;::.:. ::.:: : > >:'> > ;':< BOILER/REFRIG 1-100M BTU x 12.00 = x20.00 BOILER/REFRIG 501-1,000M BTU u x 25.00 = BOILER/REFE IO 1>0001-1,ISOM STU . x 35.00 = BOILER/REFRIG +1,750M BTU x 60.00 = HEAT PU`MNP&AIR CONDITIONER 0-3 TON x 12.00 = HEAT PUMP &AIR CONDITIONER 3-15 TONS x 20.00 = HEAT P+ M &AIR CONDITIONEi:15. 0 TONS ::.... x 25.00 = HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 = HEAT PUMP &AIR CONDITIONER+50 TONS x 60.00 = VENTILATING FANS x 10.00 = EVAPORATIVE COOLERS x 10.00 = TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 = TYpEIIHOOD ;: x 10.00 = • CLOTHES DRYER x 10.00 = RANGE : ;; = • : x1000 GAS LOG x 10.00 = MISCELLANEt US(NOT COVET ED;ELSEWHER x1,0.00 = UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = ULINSTED GAS;APP ,IANCE>400,000 BTU ,: Ocic01--/ A 01 (z2 LI . . , • ....---\\ . . „ . . . r• -DETACH 70 DISPLAY CERTIMATE--; i • OT•oVe,'',"•,•••• ••••,ii.-•,,,,••..•,,,,V.,..;',4,.,•-',..-....-,44.4•••••V.• • •-••.7,..•••••'-W4,5 -...rr Vter......,..•-',.. .-44;ii•TV.IFV Irlii,T••••••••••..............'..••••••=1.•-`,.........A-W•C',.. .......................... 4 i ••••,•'.... ..C.'.......'.....".. .........‘..............."........”,le.,....7•2'''''' .42. 2...+4... ........... .... ....&. ................. ..L........................... ..........,..” . \ 0 • • .'l .: ... ':: I • ii-; DEPARTMENT OF LABOR AND INDUSTRIES ..f. .. . . 'THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A •;i,P -- --- - . zr •••• . , . . - iir•1 1.:ii - . • ,..7 . . Gq,---'' -..._- : e.-- ... • . - - . ' .1-C'tk"-;;;A.; . -.I • - :0 . ... 0 "-.;;,. •,.. PEGISTRAacci NUMBER i EXPIRATION 3ATI- tit:,`.;---C,':• 376L1.106./21/951 STATE OF WASHINGTON NI ' •-• %). :.;. CO) IC . 1 t. g':NORCO HZA.1 1NG 4 XI?, N 11 . ;3-• li 5 10 3. E TRE!'cr t'v''.. ,. : '1 SP00014-: • - 4A 9.-; 2121351 • 49 711 CD • i %S: . . .. . . T-625-052-=0-94 t.:. •;-...:_.- ---•----tic,--_--;. .;••-'.:-_- --r------,---...-._-....".,.,,......-4-77-`=:',5 ":....,.;:,;;.-,... .:,.......---- __ ..,...:.,.. ..;;;....•, :;..7.:; CD CA i-- t_.RETCH TO D'SPUV CgciTIFICAT,F__.1 ' •_...., _.— . . .. . .. . 0 • CO • : ). LII . • . 1 NI . \ . . '.. • .• . . • I ' . , • . . . .,.___ • i I .• . • • f , . • • IV . . . 0 .• t'sD .. . . . i