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1990, 05-14 Permit App: 90002057 Wood StoveJOB STREET ADDRESS: MECHANICAL FfRNAIT APPLICATION FORM Information Worksheet CITY/STATE/ZIP: CWNER: //✓tli%rtci /1,4K RLa PARCEL NUMBER: PHONE NUMBER: AILING ADDRESS: /,SAO 7- C. Cu 771/(i ( Street) CONTRACTOR: MAILING ADDRESS: 926 - 8/ sz7 5©a frvi-nfF,fg/gsn 992/ (City/State) (Zip) .LICENSE NUMBER: PHONE NUMBER: (Street) (City/State) (Zip) _ MECHANICAL DESCRIPTION WORKSHEET/FEE SCHEDULE NUMBER X EACH OF,UNITS UNIT 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 AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER FANS HEAT PUMP & HEAT PUMP & HEAT PUMP & HEAT PUMP & HEAT PUMP & VENTILATING 0-3 TONS 3-15 TONS 15-30 TONS 30-50 TONS +50 TONS 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 '3 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 x 15.00 x 1.00 x 12.00 x 20.00 x 25.00 x 35.00 x 60.00 x 12.00 x.20.00 x 25.00 35.00 60.00 10.00 10.00 50.00 10.00 10.00 10:00 10.00 10.00 50.00 x100.00 x 50.00 x100.00 x 12.00 x 15.00 NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE SUBTOTAL - PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE $ Spokane County Department of Building and Safety • West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675