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1989, 10-10 Permit App: 89003945 Mechanical Fixtures
MECHANICAL PERMIT Information JOB STREET ADDRESS:j j l CITY/STATE/ZIP: � I- _a C )�', �,� �6 OWNER: � -L[1 11 ii i It �- APPLICATION FORM Worksheet 1 l'�,1� Cit • PARCEL NUMBER: PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: l �-T�,f LICENSE NUMBER: � W l -Y PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION NUMBER OF UNITS X EACH UNIT = AMOUNT DUCTWORK SYSTEM_ _ _ _ _ _ _ _ _ _ _ _ WOODSTOVE/INSERT _ _ - _ _ _ _ _ _ _ _ _ GAS WATER HEATER _ _ _ _ _ _ _ _ HEATING EQUIPMENT -<10U,16016 BTU _ _ _ _ _ HEATING EQUIPMENT +100,000 BTU_ _ _ _ _ GAS PIPING (1 - 4 OUTLETS) _ _ GAS PIING (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 & AIR CONDITIONER 0-3 TONS _ _ HEAT PUMP & AIR CONDITIONER 3-15 TONS _ HEAT PUMP & AIR CONDITIONER 15-30 TONS _ HEAT PUMP & AIR CONDITIONER 30-50 TONS _ HEAT PUMP & AIR CONDITIONER +50 TONS _ _ VENTILATING FANS_ _ _ _ _ _ _ _ _ _ _ _ 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 50.00 = 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 = _ T SUBTOTAL I $ �-),�• T, PLUS: PROCESSING FEEI+ $ 25.00 EQUALS: TOTAL PERMIT NOTE: NIXUX PERMIT E IS $35.00 FEE DUE _ $� �U`� SIGNATURE Spokan County Department of Building and Safety West 1303 Broadwav Avenue Spokane, WA 99260 (509) 456-3675