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1991, 12-12 Permit App: 91008510 Mechanical Fixtuers�3^ 35L l 1V\ \c)I LoM- ST Gu 4y JOB STREET ADDRESS: e�19 Ute 35.2 / OA 7 9&o(o PARCEL NUMBER: PHONE NUMBER: 90W -47g56 91 85/0 MECHANICAL PERMIT APPLICATION FORM atkak 1 : ?y5a -,Information Worksheet CITY/STATE/ZIP: OWNER: CL -r -19-1544-216; MAILING ADDRESS: (Street) CONTRACTOR: (City/State) (Zip) A&M QUALITY HEATING LICENSE NUMBER: QuAssioau: E.12fl61NDIANA MJE. SPOKANE; WA 99216 MAILING ADDRESS: PHONE NUMBER: 928-2100 (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE OF UNITS KUNITx DESCRIPTION DUCTWORK SYSTEM • WOODSTOVE/INSERT GAS WATER HEATER HEATING EQUIPMENT <100,000 BTU HEATING EQUIPMENT +100,000 BTU GAS PIPING (EA OUTLET) 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 0-3 TONS 3-15 TONS 15-30 TONS 30-50 TONS +50 TONS HEAT PUMP & HEAT PUMP & HEAT PUMP & HEAT PUMP & HEAT PUMP & VENTILATING AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER FANS 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 AMOUNT X$10.00 - X 25.00 - x 10.00 - x 12.00.- % 15.00 - X 1.00. - X 12.00, x 20.00 o x 25.00 .o 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 - 10.06 19,00 .0o ia,on NOTE: MIN MP RMI 3A'E`EEAIS $35.00 ,SIGNATURE SUBTOTAL S 36, oo PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = s (0/00 Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675