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1991, 09-16 Permit App: 91005871 Mechanical Fixtures
77 MECHANICAL PERMIT APPLICATION FORM ..Infdimation Worksheet i I i i I /' ^A A. '?A A ET:. ADDRESS: MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH 4AF UNITS 17NIT =AMOUNT DESCRIPTION`0 "ORK SYSTEM_ ,TW E4 - - - - - )DSTOVE/INSERT, - ;'!'.-.';WATER HEATER: STING EQUIPMENT -<l.b-6;60d., STU .TING. -EQUIPMENT :+100'0001. BTU. q...PIPING (EAOUTLET) - - - - - - - - - FRIG,.1-100M BTU. '(NOT A/C.OR HEAT PUMP) ,RIG K 101-500BTU`_ FRIG' 501-1 1.000H ' BTU7. - 001-1;,750M j 1 . WG+1i-7.50M1 &71 1 ;AIR..,`,CONDiTIUNE ,PUMP -15:TONS ,�.,..PUMP�&-.'AIR��.�-�CON,P.I.:T.I.ONER .3. !�.,4 "., , - -, NV4,PUMP-:-, '15-30TONS . &;,�,AIR-,"-� CONDITIONER XVPUMP', * AIR: "CONDITIONER: 30-50" TONS W�UMP..:* & *,AIR CONDITIONER'+50. TONS': NTILATING... APORATIVE -COOLERS - - - - - - - - P FOOD PER 12:',; OR..12' PTN.* OF HOOD) PE II HOOD rOTHESDRYER E 'SCFLLANEOUS '(NOT.;COVERED ELSEWHERE)_ STEP.,;GAS:, APPLI I AN.CE.<.400,000 -BTU" magTED*,, GAS'. APPLIANCEV>400,000 BTU .. ;9D 'APPLIANCE ..;<400, 000:BTU- PPLIANdE.;'>400,'00 BTU_ - - - - - - 11". -HANDLER. <16 i 000 ,CFM ER:; HANDLER >101'000,CFM X$10.00 X 25.00 10.00 12.00 = x 15.00 = x 1.00 = x 12.00 = x 20.00 =x 25.00 = x 35.00 = = X 60.00.11. X 12.00 = X.20.00 = X 25.00 x 35.00 = x 60,00 = x 16:00 = */10.00 = x 50.00 = 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 $ _P PLUS: PROCESSING FEE LUS + $ 25.00 EQUALS: TOTAL PERMIT V LU14 3 5.) 0 $ 4�TE 'I PE T EE I7,$ FEE DUE 'NATURE (:'ZO 9260 Spol(ane, c iunty Depa,rtment of Buildand SafetyRrnnfiwaV avenue Sookane, WA 9) 456-3675