Loading...
1993, 06-08 Permit App 93004510 Gas Logfuom Ac 344. r UV5 C-5 �w MECHANICAL .L PER.V,if APPLICATION L[CA t ION FORM information Worksheet JOB STREET ADDRESS: I /12 q 0 ci C. e)i- CITY/STATE/ZIP: V e11SA a 0q (6_)Q, '1' 037 PARCEL NUMBER: OWNER: KLes (i c . PHONE NUMBER: MAILING ADDRESS; (Street) C1=/JfFti2 9,5-1.0K) g�5 CONTRACTOR: MAILING ADDRESS: • (i--' 1 (Street) DESCRIPTION (City/State) (Zip) LICENSE NUMBER: r4 I C.0 6/C. I %3 !, lit PHONE NUMBER: (_70q) c,..C.--(C' i I 1 �•-,"��rr/t�E },c�:a C192G(e, (City/State) • MECHAN!C..\L WORKSHEE±/FEE SCHEDULE NUMBER OF UNITS ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) OODSTOVEIi'SS=rx.T: GAS WATER HEATER GAS. EQUir A4F ;Ct OO, J 3 a U 13 ICtU'D S ` GAS EQ1_1IPMENT+100,000 BTU DUCTWORK) :GAS:•::IPIt�iG:` FA:'OE3�"�'� :,:w.<•.:.o::.•>A,•r.•s:•.�.,`:a>.:�;.-::>:::: �:: �::`�'.�twt..k h..?::�Fca•N:'taYawaacaw757P.�:abxMi::;nN+r;n::..:.},..: BOILER/REFRIG 1-100M BTU ...-.-.. Rx+•x.•»;s:tt.,.{„},w..;.,p>,.wn-..:y,?;:f. X�A'.:?!�!N.. : y..nY�..�...:n,n:�:±�}o+ .. :.as, .. sx•rrY:.wc:w:;:a}.;�..:::w, �:4:?'5::2::•:.,.�•;:?.,....s:.:A.�:.,..:..�:... BOILERIREFRIG 501-1,000?,4 -�o��R� FRIG'=.�.>•t3a��-->r������. .::.:v..w....:.M.:..�,:r,;o.:::.:o«;:.:,,.,M:a.:«,.,.v.•:.:x«,,.,.,:., ,..:w.,a.:,:;:�.�a*':,fr}�s:;iss>-'>,,�; EOIQ ERIREFRIG 1,750M BTU .. _. - v..-I .wm:vm•:.vvv.:. +mxwJ,w.w i?t1i..i, HEAT P fJMP & AIR CONDITIONER 3-15 TONS • k--- •,�,;.:?rv:n.Y,.w.,,,,:,:,:,w,...m.,,,:,:,.y..,,.>„„,},.a,,,,,,,.:,,v.,M,:3;::; ��%"'>s;> ;�:: NrAT, PUMP:87A-1, CQhNQfT�i3NER 1? 30TGI,iS , "" N"> HEAT PUMP & AIR CONDITIONER 30-5TONS- -- - _H EAT'PI T v+Ylmaw::. AIR'COl`:DIT3C nYrr«rvA.xvkJN:4.:i .n.:.....:.:.+." wr:;Ji«n:;wv"Wrw.w -.v. •..�:.. .,ti-✓..::::... VENTILATING FANS _ _ .,.•:eta;;4.{:V-0^;^�'p;;:'v"�y�:,;y:•r);};:ec}�'�ao+�:';.;a! 1t PORA y1/ 'OO:OLi=i3S> . -;<<..:<;:;;4> :;< ;� ::.:.:«.,�c.•,:;c.•«.:.,,::«::.,.:::,...:,..w.:w;.acrwSY:.s ...- ,.v aN::;w.::.•.+.ah,A;+•- TYPE 1 HOOD (PER 12' OR 12' PTN. OF HOOD) CLOTHES DRYER 1 GAS LOG MISCRLA iti5 ROt GOVEF?ED cLSEWi ERE `. : UNLISTED GAS APPLIANCE <400,000 BTU UNNSTED GAS APPUANCE.400,000 BTU USED APPLIANCE <400,000 BTU ...:............ USED>;APPPLIANCE' 0O,oQo> BTU = < :{> >;;; ;::•: AIR HANDLER <10,000 CFM AIR:HANDLER`>10,000`.CFM • X EACH UNIT. =AMOUNT x 10.00 = x 25.00 = x 10.00 = x 12.00 = x 15.00 = x 1_00 =. x 12.00 x 20.00 x25.00= x 35.00 = x 60.00 = x 12.00 = - x 20.00 = x 25.00 = x 35.00 = x60.00 = x 10.00 = x10.00 = x 50.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x 50.00 = x100.00 = x 50.00 = x10o.00 = x 12.00 = x 15.00 = .00 /U OL NOTE: MINIMUM PERMIT FEE IS $35.00 SUBTOTAL PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE co = $ 36 SIGNATURE Spokane County Division of Buildings