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1993, 03-18 Permit App: 93001598 Range, Piping v fit, W r �i xr n $ ti4 t - ✓{+kfYv�� '�i' �'+. �t,1�.q�� '4�h�� i" �c•S°`f 3 1 L� 7 x-j�� Myf MECHANICAL PERIL IT A13PUCATION FORM Date: � ' Information Worksheet ; JOB STREET ADDRESS: t T a 41JQ- CITY/STATE/ZIP: ?u - tx)A- ¶°,)-0G PARCEL NUMBER: OWNER: , v c /--1--c4 4. PHONE NUMBER: l�� / Io MAILING ADDRESS: SUu (Street) (City/State) gip) CONTRACTOR: Ripley' s Plumbing, Inc. LICENSE NUMBER: RIPLEPI107B6 PHONE NUMBER: 509-535-1919 MAILING ADDRESS: 4104 E Prat-t- Spokane, WA 99202 (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = i•.f.0' ::.�� :I.- +:i�j:::{:'{?-y{jjis0ii::}:::�:�{isi::�}i'i:}:•}::::}:-::}::}i:::?v'-._ii.i-.::{.i:?.:L?�:?{•:: 25.00 = Op$7} ....I;I.;Na�l�'�<:...:.:.......:<::'<�-�;>:-s>x:�,:....................:...................... x iiiiJi.:v:::.::v-:: :::.,•irn:•:: ::.-.:..w:.:• .•.:::::.:.v::::....•: •-:vl}' :::.n.,.:.r.-.., - GAS WATER HEATER x 10.00 = �.._. n-„�.r fir "" �'y�rry.y.{{�ry.�-.j./nfv,;�rywh.--:•{rrr��q,,..•. Yrr. ;�.•� :. x 12.00 - Si[��fir 17µiiRi�1#00:}#14:0_: N�ifY � = • . GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 GAS PiPiNG„(EA QUTI 1J, - / x 1.00 = I. U a . }-- .,rar:r :.s .ar @ ocnr.,,w.:,: ,�.}«•J.:aatG:axw.cG•rx::tiR..�,ah:aa«,r�r:...at;,:.-R . ROILER/REFRIG 1-100M BTU . x 12.00 =i. . ,,w rr•,,,:�,. w�f, f:-:,:>.i f Y:.•• :x>:» x � - ;..:. .. ::.}yam +�:f., l�I����:�-- .��-.',:,.{s�.: � N=h��:5 '».-` - _ x 20.00 = �•� _ < rw.wHwAD vvC wA•.vs{ Yv.•• •• v:6\v{i i.'vY vvvWr[ vti� � �.: BOILER/REFRIG 501-1,000M BTU , , �� . . .x 25.00 = - 180nrivr6FnIG:ww4 ' 7OMi :Siy "4lxmwn35.00 BOILER/REFRIG+1,750M BTU :` " " x 60 00 =` {:{ V rrr--ffiwrxhv r/Ms �r:Y:rrn.-vY:xr. Y^Yi 3' fY�• :HAT P1Jtate:<R AtR ktittiON00 0 3 TONS ' x 12.00 •-• HEAT PUMP&AIR CONDITIONER 3-15 TONS': x 20.00 • - x 25.00 _ HEAT PUMP&AIR CONDITIONER 30-50 TONS .'," ' *35.00 ?•.> -:Y, r::rrirr{{4••{:::::r:.v: rrr.•.v.•.:-r::::•. �, !HEAT PUMP: AIR CONDITIONER+50'fiONS'. ? x 60.00 = :::. .r...r5.r.::,.,xii:.:.6,:or. .,:.......r...r.:.:::.,-:::.�:::..,•:.,•.r'--...rr:.r..,.,-r:.v:r,.,•::::.✓::::..-:::r::.v:,vr:::.,-}: VENTILATING FANS °'` x 10.00 x10.00 _- TYPE I HOOD(PER 12' OR 12' PTN. OF HOOD) x 50.00 = y.Y..::}:-v{r.•t h:=:}L{:.}}'•i'}:Xi,�i::iii:;::jy:{:::ii::i:::}:.::Y.}}::i:•is-::b:•iX•}}}}Yr.::i:iy::•}�:v}::.rr-::::::•::: P ::TY..-E."tH ..............f....:.O.O.�.>;��:;::�:;�:::<<::>;<>:=':�:;:<::::::»>::;v:;::.:::;::;:.:...`--....-.:�.<}.;::>:.:{::;':-....-:..�:,-:.::<:>::<::: .-. - '� :-�Nr::::::}:}:{:;.<::?::::»: »}:::<:>:>;;::}:�:.::?<::r::>: :::>y:;:.:�;::<:y;:ri: �::::w;yw>:<;»>:� • x 10.00 = CLOTHES DRYER - x 10.00 = >^--Cmc.:::-'•!fry:?y,,.Yr.:>_:;:::::_^r.;:<:?=y-'?-osYH.,S!3yi:<•i.`-:t-':'r.,-:'•,:'.{W?:j?i }r`3 p��{�± •:'f:^'.2E:R$::;-}x.r?}}i•:rri`?`:?7i:w::•`:::yi .: .; }r.f.•.::: : :•:::s• : : - �•- --..,.};.}-:.r.:.}<�'::Y::,.„MYfi.. }ri:•::�::>:�•:.;;.}:};.v:,::r{:.}'.�:�}.,H.,<.v�-:,:::•::n,S��••'�,•{.r- X 10.00 - wcwx •{aoc:,G},a;. x5.�-i:�lN .cuf iwris`twv.S:•aus}.w.,:tt s..w.xaiw�.aw},; � i /��(� l� GAS LOG �^�s° x 10.00 = Eir n . '� .. { -•: I . . X 10.00 = UNLISTED GAS APPUANCE<400,000 BTU x 50.00 = -Uja1titdASywn• rYC : Mw : `NwYmvK - • x10 .00= 1 USED APPUAN�CE��<400,000 BTU x 50.00 = :l->'-:-..rrv»r�,yv. �Fw �'':c^:w:}cMr:N:r:r-r:i:• r�:y?!.rr rtY�:.1y: •{4'<-r,ti � - - S # 1 OA'r n< a .r. :z , • x100.00 AIR HANDLER<10,000 CFM':- `: x 12.00-_ w•.r:- - `AMAP: 000' : • lti : Y 15 _ _ .._ ..-�:,.}::�virr.,�,}x:xN::•.':�::,tivv*xl..:v.�:xw:;r}rw��::�. ::w�vH4M�, ��i {: .�;;�.�:i x 15.00 = SUBTOTAL $ 1 o , PLUS: PROCESSING FEE• +$ 25.00 NOTE: MINIMUM PERMIT F- IS$35 a. EQUALS:TOTAL PERMIT � b FEE DUE _$ 3�� SIGNATURE • 0,, Spokane County Division of Buildings West 480treroadway Avenue Spokane, WA 99260 (509)456-3675