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1992, 08-31 Permit App: 92007011 Mechanical Fixtures MECHANICAL PERMIT APPLICATION FORM Information Worksheet � ,(n "'-\ JOB STREET ADDRESS: C - I O O I Pi--)--. `�J CITY/STATE/ZIP:l Sp lc) � q q )(o PARCEL NUMBER: OWNER: S'i Q_)-e..._4----- in-e , I l PHONE NUMBER: 9)a.?-033d1 MAILING ADDRESS: Ea (Street) (City/State) (Zip) CONTRACTOR: T a I c el C'42cEiJ CE,J f Fv LICENSE NUMBER: F+4 ICO CSG I-73 D to PHONE NUMBER: (SSg) c/'.2L,-g91/ MAILING ADDRESS: E • (131 D -SP(I5L,(€. _Spot:AAI e- wA 992o(o (Street) (City/State) (Zip) ._ MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = O D . OV I. ........}}:.:<::-:_};}:}}}_-;:>=:-}>:=»::UE> ::>;}:_:::H_»E x 25.00 = GAS WATER HEATER 1 x 10.00 = I p 'OD - . A EQU P ENT<T00,000 0TU- 1NCt1tES x 12.00 = _,> GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 "' . ......................... GASPIPING : TL }:-;:;{;> } }:;..::.}.:}}:..:.: CB ::. mv.x.,v:.:v.:..::.....: f.F BOILER/REFRIG 1-100M BTU h-:.vmrm...]..,w-�nwn,m.w»�,mwn.v.xx:•_xxJ.x..1�am�,M.t.,},A.:.,•..:v:-s".v,,:,.:"::vriwi�un,. - -i• .. x x12.943 ' 1 L C C1lRFIGo 00�� � •" ': - -. • � x20.00 � • _ I - _ - BOILER/REFRIG 501-1,000M BTU - , x...,. r,.r::,rr::xmmrrrmr�, � t , �� -. : :1 : : -EFRI�G� .,0043-1 iMB - H F� x 500 �,E �•-rr�. .,�»{�. � Mr�.� �_.,.. x 35.80 " �r It•-,.-, BOILER/REFRIG+1,750M BTU t_ , m - x 60.00.. � �� , � -f-3- t pt�MP Ai�t CCNU .�. s v..»km ISI= �T�QNS `. x 12.00 _ HEAT PUMP&AIR CONDITIONER 3-15 TONS----- x 20.00 _' HEATP M :..„:,�,.{::::.. ,.�}„,�.:z,:,r•x. .: ,.,v.,v. U P f 1I-R CONIDIT1ONER..15 30 TONJS x 25.00 HEAT PUMP&AIR CONDITIONER 30-50 TONS - x 35.00 rr� :xw :rxeSx'.tlG4:{-•�:rery:xn..}y^f:r I^v xx.}}F..vr}..:-::• - �. EAT PUMP AIFt w t :Hxrxkr„� & CO>�IingiEf wf ):.: S sY}`.�,.,, x 60.00:._,,. VENTILATING FANS _. : x 10.00 = - F,....-.;K.,.,.-:.}v:{.,.r.:,:;.,.:a,... .r :r.=__u =_};,::>:_;::}.;:x;.. , „,.::-r;;4.:; xr-xs:•_: <;>:=>. g-}}-;:. . APORATIVB COOLER :-}:::::.::= x 10.00 -, ; ._.. i:.r..__x:.r::v...::K•i.:_._x.x.r.{+FT.tlCv n{-rv.v.F J .r_v.. .v.... =.: • _ '� -4 TYPE I HOOD(PER 12' OR 12' PTN. OF HOOD) x 50.00 __.. 7 :TYP...................... ..........................................................................................................................................................................................................................- - s . CLOTHES DRYER x 10.00 = F3AN- N:.:: .: :.:-..:..::...:::.:....:.:.:.:._:.:::...- ::::...:..:._::..�::..::_:::.::.:::...- -.... 10.00 GASLOG ...........h. .................. ............ ....................�--...-......... f ,ice x 10.00 = /C7<OcD MISCELLANEOUS(NOT COVERED ELSEWHERE <�=>:>;.;;» x 10.00 = UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = ULINSTED GAS APPLIANCE4400,080'BTU : : `>::.';'= '> . x100.00= USED APPLIANCE<400,000 BTU x 50.00 = USED APPLIANCE>4 8 '>::>'= `. ::;:;<::>::: >>::iigi.i.<:i ::::... . ........ .... .... 00,000 TU :...::.:::..: ......... x100.00= AIR HANDLER<10,000 CFM x 12.00 = R HANDLER>1 0 000:. FM�.<�;>>> � : ':: ::;:::: >;>'' :=°<' ;.:;'�;;::=:<:. : :;>::� > :..: .:: x 15.00 = `''.a SUBTOTAL $ 0?c?'CO - PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT ,/ o FEE DUE =$ �7 7 FAG NATURE Spokan ...:,. -- - '',Tr'-ngs