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1990, 09-12 Permit App: 90004530 Furnace, Piping
MECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: X 5 , —/5 V '/ // 4Y 1 7-* D,) V E CITY/STATE/ZIP: poe/06 0 /► fliLi' ARCEL NUMBER: OWNER: C... 147/e4 G..) /Fig PHONE NUMBER: 66.306. 10�,4e� 1 ' ' MAILING ADDRESS: 54 . /$ G ' 1V/7E /� 1 1W14 j"'(� F !Z 9. /L (Street) (City/State) ip) CONTRACTOR: k LICENSE NUMBER: PHONE NUMBER: MAILING ADDRESS: (Street) (City/State). (Zip) MECHANICAL WORKSHEEfi/FEE SCHEDULE NUMBER X EACH OF UNITS UNIT 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 REFRIG 101-500M .BTU_' REFRIG 501-1,000M BTU REFRIG'1,001-1,750MBTU REFRIG+1,750M BTU _ HEAT PUMP &''" AIR CONDITIONER '0 3 TONS HEATTUMP & AIRCONDITIONER 3 15,1TONS ax HEAT PUMP & AIR CONDITIONERi15-30,.TONS HEAT PUMP & AIR CONDITIONER,` 30-50 TONS HEAT ...PUMP . & AIR ` CONDITIONER +50 TONS `— r w, VENTILATING 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 000 BTU_ — USED APPLIANCE <400,000 BTU_ _ USED APPLIANCE >400,000 BTU AIR HANDLER <10,000 CFM AIR HANDLER >10,000 CFM 59 = AMOUNT x$10.00 = x 25.00 x 10.00. x'12.00 = „. x' 15.00 = x 1.00 = 12.00 x20..00 zR x��25.:00¢ to x 35:00”; x60.00 ' i x12.00` x20.00$ Gn. x` 35.00. X; 60.00 x 10.00 = x 10.00 = x 50.00 { = x;'10.00:= sF x10.00 = x 10:00. x'` 10 0.0 x 10.00 x 50.00 = x100.00 = x 50.00= x100.00 x 12.00 = x 15.00 = NOTE: SIGNATURE SUBTOTAL PLUS: PROCESSING FEE + S 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ Spokane County ' rtment of Building_ and Safety West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675