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1992, 07-30 Permit App: 92005904 Mechanical Fixtures \,tib MECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: /6(),S- :5 , ( � )/_ , � CITY/STATE/4T: �,J�/(GA F, , L, ti PARCEL NUMBER: OWNER: All-13 ( ) (1?,)( PHONE NUMBER: ?-(D --(/(11'24/ MAILING ADDRESS: , , or"- --, (Street) (City/State) (Zip) CONTRACTOR: (_CA( ir i i . ('(C�C`k_r P t.-S LICENSE NUMBER: ( 6((✓1,'pc_ /a/ (i n--1 _ PHONE NUMBER: =,%)53? -,-_(%3(p / MAILING ADDRESS: U. ,I) X q O )<SS',sSSo/( G/) ._, G(_)(,_ / 9220 (Street)) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = WOODSTOVE/INSERT. : ......::: ......: x 25.00 = GAS WATER HEATER x 10.00 = GAS EQ(MPMENT<100,000 BTU (INCLUDES x 12.00 = GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = GAS.PIPING!(EA;,QUTL ..... :: / x 1.00 = 7,,cx> BOILER/REFRIG 1-100M BTU x 12.00 is SOIL ER/REFRIO1;01-500M ETU ... ..::.: x 20.00 = BOILER/REFRIG 501-1,000M BTU x 25.00 = ;SOIL:SR/REFRIG,1 0001-1,750M BTU: :....` ., . x 35.00 = BOILEP..lr;E;'RIG +1,750M uTU - x 60.00 _ HEAT;PUMP&AIRICONDITIONER 0-3 TANS . .. x 12.00 = HEAT PUMP &AIR CONDITIONER 3-15 TONS x 20.00 = HEAT;PUMP&AIi >CONQITIONPR15--30 TONS..... ..... x 25.00 = HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 = ;HEAT.PUMP:&AIR CONDITIONER +50 TONS x 60.00 = VENTILATING FANS x 10.00 = EVAPORATIVE.COOLERS . .. x 10,00 = TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 - ATYPSII HOOD : .:...ii::: ::... ........:E:ii :: : .....:. ;. :......... x 10.00 = CLOTHES DRYER x 10.00 = ;RANG .......: .......... ....... s " ::;:::.>:.::: x 10.00 = GAS LOG / x 10.00 = /O, OO MISOE LLANEOUS:(NOTOCVERED EI SEWHERE .. ..; x 10.00 = UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = ULINSTEp..GAS APPLIANCE>400,000.:grp.. ....... : .. . x100.00 = USED APPLIANCE<400,000 BTU x 50.00 = USED'APPLIANCE>400,000.STu .. ..... .: x100.00 = AIR HANDLER<10,000 CFM x 12.00 = ;AIR HANOL.ER>10 000 CFM ......: ...:.... .. . .... x 15.00 = SUBTOTAL $ //,00 PLUS: PROCESSING FEE + $ 25.00 NOTE: MINIMUM PERMIT FEE IS $35.00 EQUALS: TOTAL PERMIT FEE DUE = $ 3 l0.CX) SIGNATUR l�( .�.P. -(, �;✓J5 Spokane County Division of Buildings