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1991, 07-01 Permit App: 91004113 Furnace, ACJOB STREET ADDRESS: � 1, (at q9 Co PARCEL NUMBER: CITY/STATE/ZIP: MECHANICAL PERMIT.APPIICATIUN FORM Information Worksheet OWNER: &jjyl2 d/P-m -& MAILING ADDRESS: (Street) PHONE NUMBER: 9 & 5 7 95- , 4dAW, %419/1 gty/State) (Zip) ` CONTRACTOR: )Ll_l `fU/JO A JLICENSE NUMBER:.S ' - AR -a#Q_ - 31,--A-1 / PHONE NUMBER: 'S 7 - / 1 70 SC 3V y MAILING ADDRESS: P- (Street) A,C / (6 .0 City/State) (Zip) MECHANICAL DESCRIPTION WORKSHEET/FEE SCHEDULE NUMBER X EACH OF UNITS 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 PIRING (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 & HEAT PUMP & HEAT PUMP & HEAT PUMP & HEAT PUMP & VENTILATING 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 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 = x 10.00 = x 12.00 = x 15/.,00, = x - = 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 = 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 = / . ©O /' ,Q NOTE: SIGNATUREeio INIMU I� 'EE IS $041 0 Spokane Coun`' epartment of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 SUBTOTAL $ c)-7 - tO PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE cD