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1989, 12-01 Permit App: 89004951 Furnace, PipingMECHANICAL PERMIT-,APKIICATION FORM Information Worksheet JOB STREET ADDRESS: L` * CITY/STATE/ZIP: Sig -0 k PARCEL NUMBER: OWNER: ITTAM L n PHONE NUMBER: MAI LING ADDRESS: 4121 A. 8 `t) Dn 502 0 1t (Street) ity/State) (Zip) CONTRACTOR: LICENSE NUMBER: � i r� }A 1 PHONE NUMBER: pa-ap3Llj MAILING ADDRESS: Q-: ,D6 N_ Einl S EL Sa?��; (.A cl is 1 t (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE BER DESCRIPTION I OFUUNITS I XUNITH I = 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 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_ _ _ _ _ _/_ _ _ _ _ !TS\7 TT.+ T .V !\r1T lTL�T �n,l .®V y•1 1 TI., • 7'\li �al11T1\ 1 X ;, 1 rLVVL `t Ll\ L. L� 2 1 O ' --1 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 = 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 = x 35.00 = x 60.00 = x 10.00 = x 10.00 = G!1- x ... • - 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 = ) SUBTOTAL 1 $ kCO PLUS: PROCESSING FEEI+ $ 25.00 EQUALS: TOTAL PERMIT NOTE: MINIM" PE EE IS $35.00 FEE DUE _ $ SIGNATURE Spokane Coun6 Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675