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1992, 09-09 Permit App: 92007379 Mechanical Fixtures MECHANICAL PERMIT APPLICATION FORM x Information Worksheet -VA(-L V) UV Fi .(S � ,l., JOB STREET ADDRESS: 6 b / L. 13 Lq .CITY/STATE/ZIP: a tc-D-_,.._4 q',L/a PARCEL NUMBER: 35JI1 . 41009 , - OWNER: n c_ e-1 a v- PHONE NUMBER: 53 4 -71a 9 MAILING ADDRESS: <c °� k ,.:. (Street) (City/State) ..gip) v - • :CONTRACTOR: L_e.,,, _. cy.,--E E c .._- 1 r, LICENSE NUMBER: Co-•l E=-0 r *'1d&o•�. PHONE NUMBER: I, 02 fo - 1 MAILING ADDRESS: � I( 6 ( (o f "1A-, , '-N -s, Vet% q Q to (Street) (City/State) ' (Zip) - MECHANICAL WORKSHEET/FEE SCHEDULE - NUMBER X EACH ,• DESCRIPTION OF UNITS UNIT Is AMOUNT , ,w;'• LECTRIC/DUCTWORK(SEPARATE SYSTEMS) , x 10.00 = • = • ST °S � ,n.::-: G :K.:K<F iek. "k x25.00 = x :,:z..,,7.7% .•.ti:.i}.vi}:.?a::::,.}...c::.::::}.,<?,.>:. .:a�w!}.r.,,. �2Cv>~a'`„• •, -\ s c. a•:v.:...ao, 'OAS WATER HEATER x 10.00 = „. oo .• :.::Ma, ` ' ,0 .SIO..... sr{ ;ax_ 3 r : it 12.00 = Ica-oo , .,- iAS EQUIPMENT+100,000 BTU DUCTWORK) X 15.00 = �{ - y'2 G vav:..::v.}::::.}.. a�., . .......,ti y i•O::i�}:s .cam 4 :::;,--;.:,,,,t,:,...., •Y Y.i-:a•...r}y?}ry,>`,}. `;:$::A:},.y.}�:.: y 00 -A -. n..:}, '.•. :r,::: :,?:x.' vny•::nye: .ism::-. .- :}:Y':{::v'a:'YSS2 i:ik-4:>lJ!xr,:ka kiA {44:y - A �.YY - �.VAS 1ILER/REFRIG 1 100M BTU -x 12.00 ♦ .:;:.:;::•.}v::.;::.:v::::.vn;:.,:r:}}-}vvr::Y.wr.V:{:i::{::::r.:vr.}•ir:}:•}:ii::{fid} }r:vi�,i$.:\:4N::r}}•s•-:::T:;, { S a ee..•�••.•!REP G V I :O. �7i '':":::a;a*iX ri•r\i ''>. ''a,vC%A' x 20.00 $ _ ;'t. a r Y OILER/REFRIG 501-1.000M BTU x 25.00 = � �+ �;4 � � „::z... .: ? : :.a:.:{;c:?•?.} ;: : .:.:.;}:.}::,:icy::?}: +;?v- '-";h'::;:i?: •. ; `''.'i•`, :. .- '•,\. �. M:: ::::y":: ti:J,.::,^afof,4v? �.�.�:.y:?::{ X3500 -,a .`E GOIL_ER/REFRIG+1,750M BTU }� x 60.00 = t .. v .:yv,..ay;.,x:{s•,{, \v.•:.S•,::iv; .•i:si, •'.:kN\\{ a {} 1. ._ -. f��j {:jNER 0 (::T'.•H!/'�► ? ,. x 12.00 al ' .. ..,.X•:' :'•YA:••iiL1,YgG,..::r:..rwi.•r:}}::::}:w .. � �r ;'HEAT PUMP&AIR CONDITIONER 3-15 TONS ' x 20.00 3 !... •:.:r..},vns ,,,,v. .x,r..v::;::.�.:;•,•.y.}vy •: -::Gv::.:v:w•.„}} t :s_� x 25.00 • roap. - ,:,... :.,:.,,a sna..,:!:',•rv."m.•-...:i:.v,...,.>.,.-'�-.,'.•.'••�:�.:..,::..., .•..,f :'.'.v�••.•:•,-}MIL '-��•:,� • y ',„, "4EAT PUMP&AIR CONDITIONER 30-50 TONS A x35.00 i � � ,Q.r:, Y.v..{:. ::?<<.}.".v:,:4y..v:r:::::::}:y<{{xsaK-,a:.' _ , ri r , f.y. :• x Et. '0..�,' III S: ,w>W 41 60.00 = -'''',1aVENTILATING FANS , -fit 10.00 = _`0,- x fi; ; `. : '' r i t, "` is :�',�..; /} F >;�f'ab, .f,'k, it 10.00 ,. '14, Z-w a ' }.' a- .':,:..,,, .> r-.v.s s :..; rr�.,::•''K:•vt .#.J .4;:i ,' '.E I HOOD(PER 12'OR 12'PTN.OF HOOD) -:---, 1 - *50.00 a 4 -Y .a"'t„ v y "''' y: .. ,,..; �53s}'... •Rcr,•r.'}.:{•:sr.G ..:af,F, y a h :: a .1c#0.00 '• .? ::tier �� i ��.�yf^2:5:,^-.f.; R,ahLP �� s„n °C LOTHES DRYER ' 110,00 «e I ifi ".t. : } +„`t y:•Y,1 4.,3,,• •'o-'i+R:q.i Fv'Y - �a�■.��w■ .'r "tC' ! }ihC>4y�i'f a \ 5c 5' Y•' Q`:i}:Y.:i�'7vT{:'yi"y{h.}:: a :,-::...-(.1.k.;,.1 :x 1Y. 0Ifg 1.. ? �,,,, #ic9:`}'3-t1a,' .,\!.£y ,£a /A:« ' Y' a \ .'''iu`'S'F£, sWr b�R``V.:e ,*':••:.:. "'MAS LOG X`11D, 10 a. ...! „r,: N.V :: : x �✓+.v.n.r..n.....n.....r....n..-.....vn.ni:..v:.xYx..xv.............y...................:::::..:. v..:..er.S --. ' N --3(10.00'..:. r„} UNLISTED GAS APPUANCE<400,000 BTU x50.00 = „ .' 3'.G�A.S"APP- A1. O B t i . -*"100.00= ... ' i•••:::.vi::::ys:.?...r::.r..,....w:::•:::•�:s :::}}:}:•:;:r.:a}: :i:9.rf s:'lwfk'?s::. �% ' f` USED APPUANCE<400,000 BTU x.50.00 = �y ...r{.,�:sy•y:::�•:.i•.;:}•sv:::::?•..d:?::r,::.:fiY.ys :?:::::::nyv.:Y.:r:ir}S`•':yx;:`• �:a� [i}r.. 1 'Y _ . Ot7GE; 00} �� `. :: ' `'"�r. , x100.00= A" -,`.-AIR HANDLER<10,000 CFM x 12.00 - a. v. aSx\,. n •.w.:vm:::::::}:::::::v,4.:::::::•% )J:.s .,:}:.,t.w.•: ,<a 3r. ihy ' # J: ..} / ;: : n } ` teg ow 15 O ' SUBTOTAL $ Qt Uo >,, e. i.l A,41•Al• (�t�. ' *(-PLUS: PROCESSING FEE ' +1 ' X5.00 NOTE MINIMUM PERMIT FEE IS$35.00 'EQUALS:TOTAL PERMIT `T 9 d D � FEE DUE =$ &ea& .;, 'SIGNATURE _ r, , i ',Spokane County Division of Buildings =West 1303 Broadway Avenue Spokane,WA 99260(509)456-3675 ;.. . , r:.;