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1993, 01-14 Permit App: 93000186 Mechanical FixturesLi OC1,bilt5 L'ALtE--'1 &P 6C €Q. CYMECHANICALPERMITAPPLICATIONFORM Information Worksheet JOB STREET ADDRESS: e. /no 4 riedei / P . L q3-f�� -Ka kaa, AD4, 99aoo PARCEL NUMBER: OWNER:%'' (0/406 ///17 .2/) PHONE NUMBER: 907, /S6 MAILING ADDRESS: (Street) CONTRACTOR: Heat Transfer Inc. MAILING ADDRESS: DESCRIPTION N. 3003 Crestline (Street) (City/State) LICENSE NUMBER: PHONE NUMBER: 482-2000 (ZiP) Heatti-1881n Spokane, WA (City/State) 99207 MECHANICAL WORKSHEET/FEE SCHEDULE ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOODSTOVE/INSERT< _: GAS WATER HEATER GAS EQUIPMENT 100,000 STUIINCLUDES GAS EQUIPMENT+100,000 BTU DUCTWORK) GAS, PIPING (EA OUTLET) BOILER/REFRIG 1-100M BTU BOILER/REFRIG 501-1,000M BTU BOILER/REFRIG i;0001:=1;750M:BTU_a''_:'::;". BOILER/REFRIG +1,750M BTU HEAT PUMP -&AIRCONDITIONER 0:-;3 TONS HEAT PUMP & AIR CONDITIONER 3-15 TONS HEAT PUMP & AIR CONDITIONER 15-30 TONS..;,:::. HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT PUMP & AIR CONDITIONER+50:TONS : VENTILATING FANS EVAPORATIVECOOLERS`;': TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) TYPE II HOOD:- .. .: >::...:... CLOTHES DRYER GAS LOG MISCELLANEOUS (NOT COVERED _ELSEWHERkc... UNLISTED GAS APPLIANCE <400,000 BTU ULINSTED :GAS APPLIANCE>400,000 BT USED APPUANCE <400,000 BTU USED ,,PPJfiANC?Yt)0 AIR HANDLER <10,000 CFM :AIR:FiANDLER ]10;000 CFM;` NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATUREMyta PP) NUMBER OF UNITS XEACH UNIT = AMOUNT x 10.00 = x 25.00 = x 10.00 = f x12.00 = /p n x 15.00 = z� x 1.00 = rOO- f, oc x 12.00 = x 20.00 = x25.00= 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 = x10.00 = x 10.00 = x10.00 = x 50.00 = x100.00 = x50.00 = ...- x100.00 = x 12.00 = x15.00 = SUBTOTAL $ 4 /11) PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ .31, fl 0 Spokane County Division of Buildings West 1026 Broadway Avenue Spokane, WA 99260 (509) 456-3675