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1993, 05-03 Permit App: 93003153 Mechanical Fixtures ---' 6‘3t r'.7I-1- 1' '-' . ''''' ' • q, ,,3) 3- co c 4 • '7 L•. MECHANICAL PERMIT APPLICATION FORM l,� � fl Information •Worksheet . . i ) t JOB STREET ADDRESS: E 10122 15th. I CITY/STATE/ZIP:Spokane, WA q�ao� PARCEL NUMBER: OWNER: Linda Skinner PHONE NUMBER: 924-5248 MAILING ADDRESS: same : E 10122 E 15th. Spokane, WA 99206 (Street) (City/State) (Zip) CONTRACTOR: Betts Oil LICENSE NUMBER: BETTSOC271BK PHONE NUMBER: 5357-112o/ MAILING ADDRESS: E 3330 Riverside Spokane,WA. 99202 (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION +bF.UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = iVVQQ..:.:: .10 {::, . ...,,:::{. .:::.:,.., :::::...:...:. x 25.00 GAS WATER HEATER / x10.00 = /o, .pc., GAS:EQ 19004/ `'I. 1 v.>:% >< i:::«.:<: ,is. O ......:::n.::::n:.:n.:::::::�::.:,r:•.v.,�?,:�:�03, Tt��I�ICt;�t�0>*S ..�.:......,�:.,..}r<N. / x 12.00 = 1z GAS EQUIPMENT+100y,000 BTU DUCTWORK) x 15.00 = GAS:PlP1 /v�^' y{� :.;{}`:};:;:�}`n}:+�Xt,:;:{{:o>}; ...:::r :: :y'w',N•^;V;` -c. :.:::: ::: :,:::::::::}. ...�.,�,:���:.�.:..�' :::. .n..{>,. < .:;�i..:'. /Z x 1.00 .2 BOILER/REFRIG 1-100M BTU • x 12.00 = ::..,..x>v{::;;i:.+::.:n ,f?. .r:2::;:+.Y:)r::.>.r$?:{.t:::::::::kii:i:::::i<':•%>•f::. SO1LEW EFRIO. .}N;.;:} :>< :<« ><:: >;.>:<:>::>::»<: ::>«: :.::.�:nr::�::: R �O�*��.,O�I�f.}}:'�'� < ,.:{w:.,...,,>,:::::�:-.: ..�::�.. x 20.00 = BOILER/REFRIG 501-1,000M BTU x 25.00 = BOILER1REPRIC'1, OOi % `5O.M.STt ' :::k{ '<:�`:::: >;;::Y.:.::>::::>Y;::<.:<> = .................................:.::::::::::.,,�::.::.: : :::.:.,.::.�}..}}:{.{{;.w};}}}: .:}}::::.;; }.}:.: x 35.00 BOILER/REFRIG +1,750M BTU X 60.00 = H.EApu......:.MP&A::. EQONOOKwRNTGvS:,...S» >N x 12..00 = HEAT PUMP&AIR CONDITIONER 3-15 TONS x20.00 = H .tv2.,w... .�,:{:r:v,,,:�}••^Y.; � .,,.;y}.n}..}vn,}:xv.i siv.:i'riii:?;'r,:.}�:::Fir:i: :..•t., to PA P l.1 .1 ' h e OMOKIK oTONSr }{ x 25.00 - HEAT PUMP&AIR CONDITIONER 30-50 TONS x 35.00 = HEAT PaMPOJ < IT( I I S 5: $;`� <. _ ........::.x.::..,..�.:. ..:x .:....... .. .rv}.. ? ........, .:::.....:.......• x 60.00 VENTILATING FANS x 10.00 = VhY..,...t,,.Y%i:{i'f•%Y<;Sii•.}ti:::::}::}isi•:iS::<:`/.: >:2:iii"`..?t. %i'r'•i`;:k`^•. EVAORAT#Y`E OOOG.ERS .•n• x 10.00 = TYPE I HOOD(PER 12' OR 12' PTN. OF HOOD) x 50.00 = TYRPAggfiNk�;{i:r.};. ..........�. ... x 10.00 = :•}. ....ri.isS:i:}::::%:�{:=:::2i,}•:,Y.tii!•Y>.��n:i{{::C:Ltv:ki'•:}%: .vii::::j::�:}ii:v;ij<i:i?{`vi;i CLOTHES DRYER x 10.00 = ,y%v:9n`%ii::i'+.;{%i;:ti::?!.ri:}:$:?::i:iS:i%ti ri:;{.;:yi{'?tt:t?:.,v,.}i'.ii::ii::•}::{•::.}}}:+.. .::�;..:t?{..': .{::v::::.v::::::::^:%•.v: r ;•;{�;.:•}`:•::•:y}}:{r:::::mii::ii RA.:G�....:::. ......:.... :.;.::<.;:.;.<::<;:«:iii:><::::.:;:.:.}}:<;«:<�:: = ,:{.;:.r: ..:::::..:.:....:.. .:.:<.,....::..:. x 10.00 GASLOG. n� .,........................ =?.r::>.........................r.. x 10.00 = MISCELLANEOUS(NOT COVERED ELSEWHERC: : `:... x10.00 = UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = ULINSTEt GAS APPLIANCE S00;0OO B nils x100.00 = USED APPLIANCE<400,000 BTU x 50.00 = USED APPUA CE> 0010o STU:.: x100.00= AIR HANDLER<10,000 CFM x 12.00 = AIR HANDtER•*1; ,OQQCFM x 15.00 = SUBTOTAL $ PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT , , FEE DUE =$ /9.*00 SIGNATURE 6?`./ ,Q49f4://a. Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675