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1993, 06-07 Permit App: 93004368 Mechanical Fixtures. MECHAN!CAL PERMIT AFPLICATiON FORM Infer:nation Worksheet JOB STREET ADDRESS: 11'17S Frerlarirk CITY/STATE/ZIP: Spokane WA 99216 PARCEL NUMBER: OWNER: Forrest Diehl PHONE NUMBER: 922-1175 MAILING ADDRESS: /S7 y (Sheet) (City/State) SUNLOI 107.16 (Zip) CONTRACTOR Inland Healing & Cooling LICENSE NUMBER. SUNIAI101JB MAILING ADDRESS PHONE NUMBER: 455-4147 3655 Govt. Way x/12 Coeur d'Alene, 1D 83814 DESCRIPTION (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER OF UNITS X EACH UNIT = AMOUNT ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOODSTOVEIINSERT GAS WATER HEATER GAS EQUIPMENT <100,000'BTU(INCLUDES GAS EQUIPMENT+100,000 BTU DUCTWORK) GAS:PIPING(EAOUTLET), ',.. BOILER/REFRIG 1-100M BTU BOILEWREFRIGI O'I_SOOM BTU,:':.: BOILER/REFRIG 501-1,000M BTU BOILER/REFRIG 1,0001=1,750M ETU:; BOILER/REFRIG +1,750M BTU HEAT-PUNLPA"4IR<CONDITIONER'0=3.TONS HEAT PUMP & AIR CONDITIONER 3-15 TONS HEATROMRWA1R"CONDITIONER:75 30•TONS HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT;Pi,MPA''"NICONDITIONER +50TONS; VENTILATING FANS EVAPORATiyECOOLERS .. TYPE 1 HOOD (PER 12' OR 12' PTN. OF HOOD) TYPE 11)i©O ....'.= •" CLOTHES DRYER RANGE . GAS LOG MISCELLANEOUS (NOT COVERED ELSEWHERE ONUS 1 tI.) GAS APPLIANCE <400.000 BTU UL INSTED GAS APPUAP CE >400.000 STU USED APPLIANCE <400,000 BTU USED APPLIANCE a BTU AfR HANDLER <10.000 CFL AIR HANDLER >10,000 CFM NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE 1 1 2 L_ x 10.00 = x 25.00 = x 10.00 = x 12.00 = x 15.03 = x 1.00 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 12.00 = x20.00 = 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 = 10.00 12 00 7 nn SUBTOTAL S 24.00 PLUS: PROCESSING FEE $ 25.00 EQUALS: TOTAL PERMIT FEE DUE 49.00 =5 Spokane County Division of Buildings