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1989, 08-08 Permit App: 89002700 Furnace, PipingMECHANICAL PERMIT APPLICATION FORM Inform/� a %tion Works JOB STREET ADDRESS:- /I/ /J(} 5 .%/%4 t CITY/STATE/ZIP: /i9,,4429 V //iZ PARCEL NUMBER: OWNER: /Y / MAIIZNG ADDRESS: /J// ?/'.YC U��iCy �C///// (Street) CONTRACTOR: // / eet ONE NUMBER: MAILING ADDRESS: F (Street) MECHANICAL DESCRIPTION , ,i/ 4/-1 99J//2_ City/State) (Zip) J LICENSE NUMBER: /I_Z-.2 /LT4 PHONE NUMBER: 92.4 29iJ� ..4zA %../A f ;247 /(City/State) (Zip) WORKSHEET/FEE SCHEDULE NUMBER X EACH n7 rT TITS UNIT = AMOUNT DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER HEATING EQUIPMENT <100,000 BTU HEATING EQUIPMENT +100,000 BTU GAS PIPING (1 - 4 OUTLETS) GAS PIING (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 HEAT PUMP & AIR CONDITIONER HEAT PUMP & AIR CONDITIONER HEAT PUMP & AIR CONDITIONER HEAT PUMP & AIR CONDITIONER VENTILATING FANS 0-3 TONS 3-15 TONS 15-30 TONS 30-50 TONS +50 TONS 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 / x$10.00 x 25.00 10.00 12.00 15.00 4.00 1.00 12.00 20.00 25.00 35.00 60.00 12.00 20.00 25.00 35.00 60.00 10.00 10.00 50.00 10.00 10.00 10.00 x 10.00 x 10.00 x 50.00 x100.00 x 50.00 x100.00 x 12.00 x 15.00 ot) 'VI 0x') NOTE: MINIM.6M PERMIT FEE IS $35.00 SIGNATURE SUBTOTAL PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 =$y/,(41