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1990, 04-20 Permit App: 90001581 FurnaceJOB STREET ADDRESS: CONTRACTOR: MECHANICJtI. PERMIT APPLICATION FORM Informal io Worksheet 9 (0/k cLuo-kAiLA e_ u 55dJ eve_ Vv Seee) CITY/STATE/ZIP: V. 80 OWNS (A MAILING ADDRESS: 0 A - 97p2 MAILING ADDRESS: 4 RCEL NUMBER: PHONE NUMBER: (Street) A& Ik1 QUALITY EriTillS, Iflc. c 1911n tn.tinna Spokane, Washin ton 99216 9947-29°7 (City/State) (Zip) LICENSE NUMBER:? c�/�L Al -JF -(9•3/0, PHONE NUMBER: a . O - 2 I by (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH OF UNITS UNIT DESCRIPTION DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER HEATING EQUIPMENT <100,000 BTU HEATING EQUIPMENT +100,000 BTU GAS PIPING (EA OUTLET) _ E'41$J/ lit- REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) REFRIG 101-500M BTU REFRIG 501-1,000M BTU REFRIG 1,001-1,750M BTU REFRIG +1,750M BTU HEAT PUMP & AIR CONDITIONER 0-3 TONS HEAT PUMP & AIR CONDITIONER 3-15 TONS HEAT PUMP & AIR CONDITIONER 15-30 TONS HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT PUMP & AIR CONDITIONER +50 TONS VENTILATING FANS EVAPORATIVE COOLERS TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) TYPE II HOOD CLOTHES DRYER RANGE GAS LOG MISCELLANEOUS (NOT COVERED ELSEWHERE) UNLISTED GAS APPLIANCE <400,000 BTU UNLISTED GAS APPLIANCE >400,000 BTU USED APPLIANCE <400,000 BTU USED APPLIANCE >400,000 BTU AIR HANDLER <10,000 CFM AIR HANDLER >10,000 CFM C = 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 = x 25.00 = x 35.00 = x 60.00 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 10.00 = x 10.00 = 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 = x100.00 = x 12.00 = x 15.00 = �d-©t9 NOTE: FNI•UM PERMIT FEE IS $35.00 SIGNATURE (n ((J� SUBTOTAL $ /a t) 0 - PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = $37.oD Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675