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1992, 01-27 Permit App: 92000463 Mechanical FixturesmtInInwML n rtnnui.rrskumium Elam6fir �/ JS /p,n Information Worksheet / 'e.E 7"f" • JOB STREET ADDRESS: l k -('"LO 5 ` �n F �F W4J�Q 3 8a. CITY/STATE/ZIP: Q PARCEL NUMBER: (es/n-6)6 OWNER: /[D" Q, PHONE NUMBER: MAILING ADDRESS: a�-t %- •w41Q-Sl, `� (City/State) (Zip) CONTRACTOR: S a C LICENSE NUMBER: factict b$ -t4 -t ( o ( L7 PHONE NUMBER: (Street) MAILING ADDRESS: -It Si I.iYQ_40 14 • (Street) (Cit State) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT L'4- (Zip) i92,04 = AMOUNT DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER HEATING EQUIPMENT <100,000 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 & 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 NOTE: MIRIM PERMIT FEE $35.00 IGNATURE �t:er E=r .. a..i Spokane Minh, nonartment of Bulidino and cafe t. SUBTOTAL x$10.00 = x 25.00 = x 10.00 = x 12.00 = x 15.190 = 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 = l Qom_ 1t - ISP PLUS: PROCESSING FEE EQUALS: TOTAL PE FEE DUE