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1990, 06-05 Permit App: 90002501 Mechanical Fixtures
MECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: E 11804 Grace CITY/STATE/ZIP:' Spokane, WA 99216 OWNER:'"Mr F,' Mrs Ken Houspr • MAILING ADDRESS: CONTRACTOR: 'A i' PARCEL NUMBER: b - ('6 `C ( " 1/6? '•PHONE NUMBER: q77-1274 E 11804 Grace, Spokane; WA 99216 (Street) - .. Care Systems- (City/State) LICENSE.,NUMBER:""'AIRCAR*162PN (Zip) --,PHONE-NUMBER:--922-8303 'MAILING ADDRESS: fii5nr, WA 99185-0634 - , :(Street).:: sM: .(City/State) (Zip):;. CHANICAL.WORKSHEET/,.FEE,,SCHEDULE,_�,,,,;, :'NUMBER X -EACH OF; UNITS=!. ; UNIT ',,'DESCRIPTION DUCTWORK;SYSTEM'• WOODSTOVE/INSERT,'_ GAS..WATERe,HEATER, - -,-,- HEATINGEQUIPMENT;;<100,000:;BTUs HEATINGEQUIPMENT.+100,000..BTU:_ - - GAS .P.IPING(EA4OUTLET)..:'':_` - :._:: REFRIG; 1100M ;,BTU's(NOV;A/C=OR;-HEATPUMP_ REFRIG101-500M BTU`S REFRIG„,501 3,9. ' REFRIG;; It 001-1 50M`i BTU_ REFRIG`"+1;750M5'BT1,_::i__'._=:`_'::::_ HEAT,::,PUMP;:&`AIKCONDITIONER_0-3 _ TONS;-,;- -• HEATPUMP AIRCONDITIONER_r3-15 TONS HEAT.-PUMPAIR CONDITIONER; 15-30. TONS- HEAT;;PUMAIR .CONDITIONER'::30=50_:TONS;__i'_ : HEAT; :PUMP. & AIR'.; CONDITIONER +50 -TONS ., �.` VENTILATING:FANS;(_-:":`:::;' _;::_°._ EVAPORATIVE COOLERS TYPE.I HOOD -(PER 12'. OR 12' PTN. OF HOOD) TYPE II HOOD: CLOTHES DRYER "'.+ GAS LOG MISCELLANEOUS.i.(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,.;= x125.00:- x'10.00,= ,25.00;,=x 10.00= X;12.00"< - x 15:00'.= x'•12:00:'= xns20:.00:.= *:25:00 x.60.00:= x?;2000 =' x'25:00.= x, 60: 00T_= x' 10:00;•-= x 10.00 x 50.00 = x 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: 0 P2:00" NOTE: ,MINIMUM PEIT _ IS $35.00 SIGNATURE SUBTOTAL $ 22.00 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE $ 47 nn Spokane County Department of Building and Safety West 1304_ Broadway Avenue -Spokane,.-WA-99260 . (5.09).456-3675_: