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1993, 06-03 Permit App: 93004264 Mechanical
DUCTWORK SYSTEM_ _ _ _ _ _ _ _ _ _ _ _ _ WOODSTOVE/INSERT _ _ GAS WATER HEATER _ _ _ _ _ _ _ _ _ _ _ _ HEATING EQUIPMENT <100,00.0 BTU _ _ _ - _ HEATING EQUIPMENT +100,000 BTU _ _ _ - _ GAS PIPING . (1 -,4 OUTLETS) _ _ _ _. _ _ _ GAS PIPING (5 OR MORE. EACH:)_ _ _ _ _- 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 15-3,0 TONS _ HEAT PUMP & AIR CONDITIONER .30-50 TONS _ HEAT PUMP & AIR CONDITIONER +50 TONS VENTILATING FANS _ _ 77x.10.00 - - - - - - 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 <40.0,000 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 _ _ _ _ _ MECHANICAL PERMIT APPLICATION FORK. 9 Information Worksheet / JOB STREET ADDRESS: �'�` / �'%% : �Ci'• CITY/STATE/ZIP: G�uQ� Wk • ! QZ/ �- PARCEL NUMBER: I OWNER: �Gliyt->L� �c.'� PHONE NUMBER: IoZ I MAILING.ADDRESS:N Otreet). (City/State) ..(Zip) i CONTRACTOR: P� b ;.: , 1�r_ NUMBER; � _-rn; - L l C� % Z. t PHONE NUMBER: _ MAILING ADDRESS:_ �.LL'� ll� S (� (Street) (Cit %State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE 'UNITH NUMBER I.OF X SUBTOTAL $ 7 PLUS: PROCESSING FEE + $ 25.00 EQUALS`: TOTAL PERMIT <. NOTE: MINjr PERMIT FEE IS $35.00 FEE DUE SIGNATURE Spokane County Department of Building and Safely West 1303 BroadwayAvenue Spokane, VITA 99260 509) 456-3675 DESCRIPTION UNITS ..I.= AMOUNT DUCTWORK SYSTEM_ _ _ _ _ _ _ _ _ _ _ _ _ WOODSTOVE/INSERT _ _ GAS WATER HEATER _ _ _ _ _ _ _ _ _ _ _ _ HEATING EQUIPMENT <100,00.0 BTU _ _ _ - _ HEATING EQUIPMENT +100,000 BTU _ _ _ - _ GAS PIPING . (1 -,4 OUTLETS) _ _ _ _. _ _ _ GAS PIPING (5 OR MORE. EACH:)_ _ _ _ _- 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 15-3,0 TONS _ HEAT PUMP & AIR CONDITIONER .30-50 TONS _ HEAT PUMP & AIR CONDITIONER +50 TONS VENTILATING FANS _ _ 77x.10.00 - - - - - - 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 <40.0,000 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 _ _ _ _ _ x$10.00 = x 25.00 x 10.00 x 12.00 x 15.00 _ x 4.00 _. 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 = Ix 35:00 = x 60.00 = = x 10.00 = x '50.-00 = X10.00 = x 10.00 = x 10.0.0 = x 10. D 0 _ x 10.00 = x 50.00 = x100.00 = x-50.00 = 0 x100.0 = x 12.00_ x 15.00 = / ! a ' a d b t _ SUBTOTAL $ 7 PLUS: PROCESSING FEE + $ 25.00 EQUALS`: TOTAL PERMIT <. NOTE: MINjr PERMIT FEE IS $35.00 FEE DUE SIGNATURE Spokane County Department of Building and Safely West 1303 BroadwayAvenue Spokane, VITA 99260 509) 456-3675