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1992, 09-08 Permit App: 92007301 Water Heater, Piping35 sa . S(¢ol iygiA tiE g -JOB STREET ADDRESS: MECHANICAL PERMIT APPLICATION FORM Information Worksheet 2563 N. Elizabeth CITY/STATE/ZIP: Spokane, WA 99212 PARCEL NUMBER: OWNER: Betty Wacenske PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: Allidd Heating, Inc. LICENSE NUMBER: ALLIEI*200D4 PHONE NUMBER: 928-8252 MAILING ADDRESS: 9309 E. Trent • (Street) Spokane. WA 99206 (City/State) (Zip) MECHANICAL DESCRIPTION WORKSHEET/FEE SCHEDULE NUMBER OF UNITS X EACH UNIT i DUCTWORK SYSTEM WOCDSTOVE/INSERT GAS{ WATER HEATER HEATING EQUIPMENT <100,000 BTU HEATING EQUIPMENT +100,000 BTU QAS) PIPING (EA OUTLET) REERIG 1-100M BTU (NOT A/C OR HEAT PUMP) REERIG 101-500M BTU REF.RIG 501-1,000M BTU REERIG 1,001-1,750M BTU • REFRIG +1,750M BTU HEAT PUMP & HEAT PUMP & HEFT PUMP & HEAT PUMP & HEFT PUMP & VEDTILATING AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER FANS 0-3 TONS 3-15 TONS 15-30 TONS 30-50 TONS +50 TONS EV/PORATIVE COOLERS TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) TYKE II HOOD CLOTHES DRYER RANGE GA: LOG MI:CELLANEOUS (NOT COVERED ELSEWHERE) UNI4rISTED GAS APPLIANCE <400,000 BTU UNI`ISTED GAS APPLIANCE >400,000 BTU USID APPLIANCE <400,000 BTU USID APPLIANCE >400,000 BTU A,IIt HANDLER <10,000 CFM Ault HANDLER >10,000 CFM 1 = AMOUNT x$10.00 x 25.00 x 10.00 x 12.00 x 15.00 x 1.00 x 12.00 x,20.00 x 25.00 x 35.00 x 60.00 x 12.0C x 20.00 x 25.00 x 35.00 x 60.00 x 10.00 x 10.00 x 50.00 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 in, as he:5(s NOTE: MIIMUM PERMIT.FEE IIS $35.00 SINATURE// �Jp (/ C Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 SUBTOTAL PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE