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1993, 03-15 Permit App 93001478 Wtr Htr
MECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: %O q r U c l CITY/STATE/ZIP: 7�!rCEL NUMBER: OWNER: lit V {' �, Lala ki t C PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) (Zip) • CONTRACTOR: Aqua Mechanical LICENSE NUMBER: AnTIAMAR 1 2 norz PHONE NUMBER: 487-0103 MAILING ADDRESS: 2407 E. Euclid Spokane, WA 99207 (Street) _ (City/State) .- (ZIP) MECHANICAL WORKSHEETIFEE SCHEDULE , NUMBER X.EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) x 10.00 = :fid . si':; :>!"'.."� :• x25.00 = GAS WATER HEATER ` ' ! t � GAS EQUIPMENT+100,000 BTU DUCTWORK) X 10.00 = x-1-2.00 = .:x;15.00 0 BOILER/REFRIG•1-100M BTU 0 t ::.1.00 =' •, x.200 x 20.00_ �,� ' 3...: •.4 ..1 BOILER/REFRIG 501-1,000M"BTU x-25.00 r "X`35.00:= BOILER/REFRIG +1,750M BTU x60.00 =. HEAT PUMP & AIR CONDITIONER.3-15 TONS X20:00. in �:1 ::':''-�:-_•:. ' HEAT PUMP &AIR CONDITIONER 30-50 TONS " MOM $r Alk,11009afns "' t3 tx x35:00 : x 60.00 VENTILATING FANS TYPE I HOOD (PER 12- -OR .12- PTN. OF. HOOD) x 1.0.00 =-" :x:-50:00 •; := p > . x 10.00 ="' " �n� :; ._ ..,:, . • CLOTHES DRYER ' L. GAS LOG f ' :.:X.10.00. _.:: X10;00 x 10.00 = x 10.00 " _ ..: .. .: ,•:"�:i':.;.,;•..: ......'_ " UNLISTED GAS APPLIANCE <400,000 BTU x 50.00 = X1 00 .00 USED APPLIANCE <400,000 BTU x 50.00 = X100.00 = AIR HANDLER <10,000 CFM ��: ANo: :��yy>040Q� IV(` ..>.�:s�•� a>�M. "x�:a,�.:>>�:��::<:>.,c x 1200 x 15.00 •_ SUBTOTAL $ PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE EQUALS: TOTAL PERMIT FEE DUE _ $ Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675