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1992, 04-30 Permit App: 92002963 Mechanical FixturesMECHANICAL PERMIT -APPLICATION FORM I 68 Information Worksheet JOB STREET ADDRESS: //. /3/Q, `5- .D/Ce /CSG CITY/STATE/ZIP: LSB///%///571//1 9A7/2 PARCEL NUMBER: (7.--,39(71(T- MAILING OWNER: M6,4/I ,e7/ PHONE NUMBER: /7-,3v7cr MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: AIR DESIGN. INC. LICENSE NUMBER: AIRDEI*161JW PHONE NUMBER:` 487_4328 qa aq&3 MAILING ADDRESS: E 1815 FRANCIS (Street) SPOKANE WA 99207 (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER OF UNITS DESCRIPTION X EACH UNIT: DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER HEATING EQUIPMENT <100,000 BTU HEATING EQUIPMENT +100,000 BTU GAS PIPING (EA OUTLET) 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 HEAT-PUMP'&'AIR CONDITIONER - HEAT PUMP & AIR. CONDITIONER HEAT PUMP'& AIR CONDITIONER" HEAT PUMP & AIR CONDITIONER VENTILATING FANS EVAPORATIVE' COOLERS TYPE I HOOD (PER 12' 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 0-3 TONS '3-15'TONS _ 15-30 TONS, 30-50 TONS +50 TONS OR 12' PTN. OF HOOD) = AMOUNT x$10.00.= x.25.00,= x'10.00= x 12.00 •=: x: 15.00 = x. a::. `1.00 "= x .12.00.':._ x20:00`±,= x.+:25 00: x:35.00„S x,60:00 -i,= x::1200. x•720.00,`= .;�::;':' xr'25`00.%=. x'35:00 x:60.00*.= 0,0-0 a, or) x 1000::= x' 10:00,.; x 50.00,;= x:10.00 z"•-i00a= x:10:00` x 10.00= x x100.00,= x 50.00'= x100.00.= x 12.00 = x 15.00 = NOTE: SIGNATURE MINIMUM PERMIT FEE IS $35.00 //fko SUBTOTAL $ 0.25/, rrD PLUS: PROCESSING FEE +.$ 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ D Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (5 9) 456-3675