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1993, 05-12 Permit App: 93003449 Mechanical Fixtures
IJECH.AN!CAL PERMIT APPLICATION FORM Information Worksheet GPP JOB STREET ADDRESS: E. 11511 Main Ave. ' � CITY/STATE2IP: Spokane, WA 99206 PARCEL NUMBER:_/(O¢• 61115 OWNER: Gregory__Cr i SD , PHONE NUMBER: 976-RZ50 MAILING ADDRESS: (Sweet) (City/Stale) SUNLOI107J6 CONTRACTOR• Inland Ilea Limp & Cooling MAILING ADDRESS: LICENSE NUMBER SUNLOIOIJ11 (Zip) PHONE NUMBER: 455-4147 3655 Govt.. Way //12 Coeur d'Alene, Ill 83814 DESCRIPTION (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOODSTOVEJINSERT GAS WATER HEATER GAS EQUIPMENT <100.000 BTU (INCLUDES GAS EQUIPMENT +100.000 BTU DUCTWORK) . GAS'PIPING (EAOUTLET)„ BOILER/REFRIG 1-100M BTU BOILER/REFAIG101-50M BTU BOILER/REFRIG 501-1,000M BTU- .. ........ . BOILER/REFRIG.1,0001-1';750M BTU BOILER/REFRIG +1,750M BTU HEAT-PUMP--&413.CONDITIONER 0-3 TONS HEAT PUMP & AIR CONDITIONER 3-15 TONS H EAT RUMP_ &<UR ;CONDITIONER 15:30 TONS HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT•._PlSMP CONDITIONER. +50 TONS •' .VENTILATING FANS EVAPORATIVE -COOLERS TYPE I 11000 (PER 12' OR 12' PTN. OF HOOD) TYPE11:11©0D'": " • CLOTHES DRYER RANGE GAS LOG MISCELLANEOUS (NOT COVERED ELSEWHERE UNLISTED GAS APPLIANCE <A00,000 BTU ULA4STW GA8 APPL/ASI E >400.000 STU USED APPLIANCE <400.000 STU USED APPLIANCE >400 000 BTU irR HANDLER <10.000 CFU AIR HANDLER >10.000 CFIA NUMBER OF UNITS X EACH UNIT x 10.00 = x 25.00 = x 10.00 = x 12.00 = x 15.03 = 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 x 50.00 = x 10.00 x 10.00 = x 10.00 - x10.00 - x 10.00 x 50.00 - x 100.00 - x 50.00 - x100.00 - x 12.00 = x 15.00 AMOUNT 10 on 12 0n 2.00 NOTE: MINIMUM PERMIT FEE IS 135 00 SIGNATURE SUBTOTAL S 24.00 PLUS: PROCESSING FEE r 5 25.00 EOUALS: TOTAL PERMIT FEE DUE 49.00 Spokane County Division of Buildings