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1990, 12-07 Permit App: 90006487 Mechanical Fixturesc ( MECHANICAL PERMIT k‘ii•'1.1c,t1T,i9ti FORM Information Worksheet JOB STREET ADDRESS: 701 .4- 7_ CITYPSTATE/ZIP:_50p. /Va. eiV,/j PARCEL NUMBER: OWNER:136_ MAILING ADDRESS: (Street) PHONE NUMBER: 3 ? tt) (City/State) (Zip) CONTRACTOR: LICENSE NUMBER: jthp Cc JIA 17 Oki, PHONE NUMBER: 5/ A Lth- 99SUJ__ (Street) (City/Sta c) (Zip) .,cotax,zrzaim.-mor_liz-rammamarmuntrualarm C.E7X7MIT: 71277====.111CLZ • X.E102=1.27".123 MECHANICAL WORKSHEET/FEE SCHEDULE MATLING ADDRESS: DESCRIPTION DUCTWORK SYSTEM _ WOODSTOVE/TNSERT -_ OF UNITS UNIT = AMOUNT NUMBER X EACH GAS WATER HEATER HEATING EQUIPMENT <100,000 BTU _X HEATING EQUIPMENT +100,000 BTU GAS PIPING (EA OUTLET) REERIG 1-100M BTU (NOT A/C OR HEAT PUMP) x REERIG 101-500M BTU _ _ _ _ _ X_ REFRIG 501-1,000M BTU _ _X RFFRIG 1,001-1,750M BTU _ REFRIG +1,750M BTU _ _ _ HEAT PUMP & AIR CONDITIONER 0-3 TONS _ X 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 X E\lAPORATIVE COOLERS TYPE I HOOD (PER 127 6R-1.2!-PTN: 3F115015) TYPE II HOOD _ X CLOTHES DRYER X RANGE _ _ _ GAS Lai MISCELL2.EE0ES(170T COVERED ELSEOEERE)_ UNISTED GAS APPLIANCE UNLISTED GAS APPLIANCE x$10.00 x 25.00 10.00 12_00 15.00 1.00 12.0) 20.00 25.00 35.00 60.00 12.00 20.00 25.00 35.00 60.00 10.00 10.00 50.00 10.00 10.00 10.00 ✓ 10.00 x 10.00 = - x 50.00 x100,00 x 50.00 x100.00 <400,000 BTU_ >400(000 BTU_ USED APPLIPICE <400,000 ETU USED ITPLIANCE >400,000 BTU ATP OAIIDLER <10,000 C7N AR HANDLER >10,000 CFH 17.7. NOTE: MINIMUM PERMIT FEE IS $35.00 I0',ATUFC • 12.00 • 15.00 SUETOML PLUS: PROCESSING FEE $ 25.00 r:-::QUAL:_'-;: TOTAL PERMIT FEE DUE _ S mkatte County 'Oepartraent ofCuilding .7.41(1 Safety West 133 Broadway Avenue Sr:okare, WA 99260 (509) 45k3-3675