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1992, 09-14 Permit App: 92007532 Mechanical FixturesZ 2_ JOB STREET ADDRESS: CITY/STATE/ZIP: OWNER: MECHANICAL PERMIT APPLICATION FORM Information l3 Worksheet �hill 99,06 PARCEL NUMBER: PHONE NUMBER: 9a ? l MAILING ADDRESS: (Street) CONTRACTOR: A&M QUALITY HEATING EI 2' i 1NCn NA AVE. SPOKANE, WA 99216 MAILING ADDRESS: (City/State) (Zip) LICENSE NUMBER: 4)4nyAHRI 93N1 PHONE NUMBER: 925-210p (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE OFUNITSX TS UNIIT DESCRIPTION DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER HEATING EQUIPMENT <100,000 BTU HEATING EQUIPMENT +100,000 BTU GAS PIPING (EA OUTLET) 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 = AMOUNT X$10.00 = X 25.00 = X 10.00 _ X 12.00.= X 15.00 • x., 1.00. _ X 12.00,,= X 2000. = 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 = OD SUBTOTAL $ 36.00 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT NOTE: i MINIMUM P/ RMIT FES IS $35.00 FEE DUE _ $ ( /.©O I mm1 Spokane County Department of Buildin "and Safety West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675 SIGNATURE