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1993, 03-02 Permit App: 93001174 Gas Log, Piping
- • -- , _ c-k- - 1 '741 ' -.-7- � t terra ti MECHANICAL PERMIT APPLICATION FORM �e . ,, . ,.. `^ Qd tnforrn ion Worksheet ` J SC11 JOB STREET ADDRESS: E , /6203 /S CITY/STATE/ZI : . (.ice 1 (�J/T 9 G) PARCEL NUMBER: • � OWNER: V.XAN\_) t.5-- 1 PHONE NUMBER: (65042) 1 I26.-- 1/9_6C' MAILING ADDRESS: Z .. (Street) (City/State) (Zip) CONTRACTOR: F )C1`h Gr4iZt>5hl C�A.Ifr(e LICENSE NUMBER: ri4{C•OG 1-73L.LA PHONE NUMBER: (SOg) cj?Co-ss'ci l MAILING ADDRESS: e • q31 C) -5Pea3Ue, s�x� � . kAAi4.):90 :9 992 ' (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = • WOQDSTOVE/INSER x 25.00 = -• - - GAS WATER HEATER x 10.00 = - GAS EQUtPME f3•<1-00,0OQ ..011-NCLUDES x 1200 = - - - - GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 - tticGAS P1P,�.�-{,Ek.:0UTLM�.w..v_�:.r_wr R,� _ .• . . .� ._.- . . '` x_1.00 =;,::.-,... . . � x,00•-=. , _ ! Vis, i F ,,, . BOILERiREERIC�i_-100M BTU_ - . . - -- = • - •. x 12.00 ._..-- _ -' •;_ ^� "801LEHIABr'/C 1�0 DOt I BTU .- x 20.00 - .:7::4.-----.---.:-.-.-1•!..-_i- j a..a :.a.......a...::ar�M,nJ:a\a .,,.e,.-v.r-w a.:: ...:s.,,..Y+-,vw:rwru,.l � - .. .... -. .. '. f •. BOILER/REFRIG 501-1,000M BTU:;" .;- :r =: , . ._ - -x 25.00: -..::' :.-.---7-_-..: `_ 'BOII .TRtrn"IC A CQ3.1 :?50 I BTU _ x 35.00„,!=::11-:: .f,z-.:> = -, s. BOILEWREFRIG+1,750M BTU 1-, ' T7.....7:::`::---:-.77;• -x 60.00"':-;--!;--- Jr!,. }-SEA 'PUMP4 AIR CONDITIONER O-3TC3NS -x 12.00 -� �_` wv4w:.mr+n.v -+.vw. l 4 ;v.ra :.. .+..,::.vnmavnv aa,✓..ve.a -:.. �:� HEAT PUMP&AIR CONDITIONER 3-15 TONS.'= . - x 20.00 -` .is-- -,-, :.HEAT PUIt P A-1 ON[3 1.14k) 1a-�Q TtcIS - x 25.00 -• L y -'. .yy� y HEAT PUMP&AIR CONDITIONER 30-50 TONS -'- -: -- • x 35.00:=', : -. HEAT PUMt i"AIR CONDITIONER+50:TOUS c x 60.E = •VENTILATING FANS- _ - ..- _ - _ -• - x 10.00- � A007RATh,TI= GO1EAS ' ;> - . • _ - - - - x1000 TYPE I HOOD(PER 12' OR 12' PTN. OF HOOD)= --_- - , .x 50.00 ..,-.7---;:-.77-': - TYPr I1 HOOD: - • • • x .00 = _ , 10 X 10.0a _... :- CLOTHES DRYER -. .. !?4NGE y "", x10.0 GAS LOG 1 x 10.00 = I O, 6Q MISCELtAN OUS.�i+OTCOVED. ERELSEWHERE x 10.00 = I UNUSTED GAS APPLIANCE<400,000 BTU x 50.00 = ULINSTED GAS APPLIANCE>400,000-BTU x100.00= USED APPUANCE<400,000 BTU x 50.00 = USED APPL1ANCE>400,O00'BTU_ = ..:... ....... . - x100 00 ,: AIR HANDLER<10,000 CFM x 12.00 = AIR HANDLER..1!3,000 CFM :; x 15.00 = `"? SUBTOTAL $ /1 ,a PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT FEE DUE =5 3.0 I SIGNATURE •- . . . • -- - - . " , - t • ' - Spokane County Division of Buildings