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1993, 11-10 Permit App: 93010962 Mechanical Fixtures
MECHANICAL PERMIT APPLICATION FORM 13 -ioq Information Worksheet JOB STREET ADDRESS: 1-67-'J .ciao I,i CITY/STATE/ZIP: 6pol a/2 I,0A- 9601Y-1 PARCEL NUMBER: OWNER: Ca i/ 1 , / o i3 PHONE NUMBER: q 95 MAILING ADDRESS: alY152_ (Street) (City/State) (Zip) • , CONTRACTOR: CUati� y�n r LL/( LICENSE NUMBER: L!9 kelp( lc / 6ryi PHONE NUMBER: 53 _ L'7� '7 MAILING ADDRESS: P(9, 8fiv (-Y5 0 J '50.i(.11 LQ i tt) qQ3 O (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = 0 D T ........ .......�. .5..:...T,:....:...:.::........................................,......................... x 25.00 = GAS WATER HEATER x 10.00 = GAS EQUIPMENT X1.00,000 BTU {INCLUDES x 12.00 = GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = x 1.00 = /, 00 BOILER/REFRIG 1-100M BTU x 12.00 = ILE V. 01 0 • x 20.00 =RIRE....: :. ... ... .. , .. ��::1::.::............................. ............................................:..... BOILER/REFRIG 501-1,000M BTU x 25.00 = :BOILER/REFRIG 1,0001 1,750M BTU x 35.00 -_ :::::.:.:. ......... ........... ............:..: .. ................................:.:..:.:::..::::.:::. BOILER/REFRIG +1,750M BTU x 60.00 = 'HEAT PUMP'y&AIR CONDITIONER:0-3 TONS ; '> . : x 12.00 = HEAT PUMP &AIR CONDITIONER 3-15 TONS x 20.00 = HEAT RUMP &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 = x 10.00 = ..::,_,,, ORATI E COOLERS ,,, TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 = `TYPE. f:>H�� x 10.00 = ..::� �� CLOTHES DRYER x 10.00 = :RAN G� = GAS LOG x 10.00 = MISCELLANEOUS (NOT COVERED ELSEWHERE it+t �i i�,.� x 10.00 = 10 .°c' UNLISTED GAS APPLIANCE<400,004 BTU x 50.00 = ULINSTED GAS APPLIANCE>400,06 BTU x100.00 - USED APPLIANCE<400,000 BTU x 50.00 - USED APPL.IANCE>400,000 BTU x100.00 - AIR HANDLER <10,000 CFM x 12.00 pi AIR HANDLER>10,000 CFM x 15.00 - SUBTOTAL $ 11.0'r' PLUS: PROCESSING FEE + $ 25.00 NOTE: MINIMUM PERMIT FEE IS $35.00 EQUALS: TOTAL PERMIT FEE DUE =$ 31.c .° SIGNATUR b,1.all Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675