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1994, 03-23 Permit App 94002342 Wtr HtrMECH..AICAL PERMFT APPLICATION FOI Information Worksheet JOB STREET ADDRESS: 5 (fin ; Lit rS 1 �--- CITY/STATE/ZIP: -5pV)kC.c1 L&•1 A • D(D PARCEL NUMBER: OWNER: C�1GU1�.Q 0 5 buinh&YVN PHONE NUMBER' MAILING ADDRESS: - CONTRACTOR: MAILING ADDRESS: DESCRIPTION ELECTRIC/DUCTWORKT K (SEPARATE SYSTEMS) MINEWAON GAS WATER HEATER GAS EQUIPMENT +100,000 BTU DUCTWORK) BOILER/REFIIG 1-i00M BTU .. $t 'rays{ ,j/�) j��fj- BOILER/REFAIG 501-1,000M BTU ire' i ". oF�^ `" •-- . >.c..•D.:•.:?}.). tir.. BO1LER/REFRIG +1,750M BTU F HEAT PUMP & AIR CONDITIONER 3-15 TONS } 211 HEAT PUMP. & AIR CONDITIONER 30-50 TONS VENTILATING FANS TYPE 1 HOOD (PER 12' OR 12' PTN. OF HOOD) WARM CLOTHES DRYER GAS LOG _�. Y• wanitass UNLISTED GAS APPLIANCE <400,000 BTU wixs+•01>• areWAMMOSPONOVI USED APPLIANCE <400,000 BTU (Street) -;?c/D. (City/State) (ZIP) LICENSE NUMBER: btu/ 61J5 MCS ct 0 PHONE NUMBER: 5 3(1-'%V�7 C1tQ Qrnv )A k \° 1 .qq. -0� (Street) (City/State) - (ZIP) MECHANICAL WORKSHEET/FEE SCHEDULE 'T EslGsm- 9 ►v1lJ X EACH UNIT ;rr NUMBER OF UNITS x10.00 = x25.00 is 10.00 - x12.00 = x 15.00 - x 1.00 x 12.00 at x20.00 = x 25.00 =. x 35.00 4 x 50.00 x 12.00 = x20.00= .x 25.00 .= x35.00 = x 80.00 :.a x 10.00 = x10.00 a x 50.00 = X 10.00 sg x10.00 = - x 10.00 - x 10.00 = x 10.00 +� x 50.00 T. x100.00 = x 50.00 rl x100.00 - x 12.00 x 15.00 = . 57oa`!:hthyttG9`7r..*z£s;^.a a::.":w^:rirr:wti:->rya.�s,••':crrrF•N..=..,..:....,.. AIR HANDLER <10,000 CFM orx�. .Sacs! ".'!.}.•yr..:-.. - NOTE: MINIMUM PERMIT FEE IS $35.00 pg AMOUNT /n SUBTOTAL. 10, PLUS: PROCESSING FEE 25.00 EQUALS: TOTAL PERMIT FEE DUE 35 oa SIGNATURE Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675