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1993, 08-02 Permit App: 93006515 Range, Piping
MECHANICAL PERM1LAP JJCAT1ON FORM Infox•n Worksheet JOB STREET ADDRESS: East 14516 Mallon CITY/STATE/ZIP: Spokane. WA 99216 PARCEL NUMBER: OWNER: rhwctar RiQhnp MAILING ADDRESS:ast 14516 Mallon PHONE NUMBER: ( 5,09) 926-9814 (Street) Spokane. WA 99216 (City/State) (Zip) CONTRACTOR:Richards' Ref. Ht and AIG LICENSE NUMBER:Richarh150M4 PHONE NUMBER:(509) 413r301 MAILING ADDRESS:East 3122 Glass (Street) Spokane, WA 99207 (City/State) (Zip) MECHANICAL WORKSHEET/FEE DESCRIPTION SCHEDULE NUMBER OF UNITS X EACH UNIT = AMOUNT DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER HEATING EQUIPMENT - <100,000 BTU HEATING EQUIPMENT +100,000 BTU x$10.00 = x 25.00 = x 10.00 = x 12-00 = x 15.00 = C _ta- n _ _ . 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 1,001-1,7541 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 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 = / / 0.0© NOTE: M r _ EE IS $35.00 SUBTOTAL $ 1 4 , o PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ 39. d) SIGNATURE Spokane Cou Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675