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1989, 09-29 Permit App: 89003697 Water HeaterMECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: 6TJa Ua J 47)..0.1)A---, C CITY/STATE/ZIP: 90}4(cU Ilk- 9970(4 PARCEL OWNER: (iL . Lau' ! • /d-0,)-/ r4 MAILING ADDRESS: CONTRACTOR: PHONE 7Mit- (;Street) nn__ rXEIM - -7?0)1 1M -I �-e MAILING ADDRESS: NUMBER: NUMBER: q?l -oq9/ y/State) (Zip) --c-Ayr -37,24))- PHONE -37,2N)- PHONE NUMBER: 41gc) -1J %0 C , . l%( i f9zzo (City/State) (Zip) (Ci LICENSE NUMBER: ,1o1 (Street) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER OF UNITS DESCRIPTION X EACH UNIT = AMOUNT DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER HEATING EQUIPMENT <100,000 BTU HEATING EQUIPMENT +100,000 BTU GAS PIPING (1 - 4 OUTLETS) GAS PI?ING (5 OR MORE. EACH:) 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 HEAT PUMP & HEAT PUMP & HEAT PUMP & HEAT PUMP & HEAT PUMP & VENTILATING AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER FANS 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 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 x$10.00 x 25.00 x 10.00 x 12.00 x 15.00 x 4.00 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 x 35.00 x 60.00 x 10.00 x 10.00 x 30.00 x 10.00 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 /n NOTE: SIGNATURE MMINIMUM PERMIT PEE IS $35.00 Spokane Countyilepartment of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 SUBTOTAL PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ OU