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HomeMy WebLinkAbout1989, 12-19 Permit App: 89005262 Furnace MECHANICAL PERMIT APPLICATION FORM Informe;# ion Worksheet JOB STREET ADDRESS: / 'L/ CITY/STATE/ZIP: ./12oc xR Gvw `jg).--e6" PARCEL NUMBER: V-75 -( (6 !J OWNER:(Lti{, a- . t�- PHONE NUMBER: Z G 2- MAILING MAILING ADDRESS: /a S �y )1 a--1-t- 7' t -- u6 (Street) (City/State) (Zip) CONTRACTOR: LICENSE NUMBER: PHONE NUMBER: c x_ 4. MAILING ADDRESS: ti-�. S et_ -�<--�(Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT = AMOUNT DUCTWORK SYSTEM x$10. 00 = WOODSTOVE/INSERT x 25. 00 = GAS WATER HEATER x 10. 00 = HEATING EQUIPMENT <100, 000 BTU I x 12 . 00 = / ). e) U HEATING EQUIPMENT +100, 000 BTU x 15. 00 = GAS PIPING (EA OUTLET) x 1. 00 = REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) x 12 . 00 = REFRIG 101-500M BTU x 20. 00 = REFRIG 501-1, 000M BTU x 25. 00 = REFRIG 1, 001-1, 750M BTU x 35. 00 = REFRIG +1, 750M BTU x 60. 00 = HEAT PUMP & AIR CONDITIONER 0-3 TONS _ _ x 12 . 00 = HEAT PUMP & AIR CONDITIONER 3-15 TONS x 20. 00 = HEAT PUMP & AIR CONDITIONER 15-30 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 = TYPE II HOOD x 10. 00 = CLOTHES DRYER x 10 . 00 = RANGE x 10. 00 = GAS LOG x 10. 00 = MISCELLANEOUS (NOT COVERED ELSEWHERE) _ x 10 . 00 = UNLISTED GAS APPLIANCE <400, 000 BTU_ _ _ x 50 . 00 = UNLISTED GAS APPLIANCE >400, 000 BTU_ _ _ x100 . 00 = USED APPLIANCE <400, 000 BTU x 50 . 00 = USED APPLIANCE >400, 000 BTU x100 . 00 = AIR HANDLER <10, 000 CFM x 12 . 00 = AIR HANDLER >10, 000 CFM x 15. 00 = SUBTOTAL $ PLUS : PROCESSING FEE + $ 25 . 00 EQUALS : TOTAL PERMIT NOTE: MINIMUM PERMIITT FEE IS $35. 00 FEE DUE = $ , 7,Z5C) SIGNATURE `aA_Spokane County Department of Buildin and Safety West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675