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1990, 08-01 Permit App: 90003672 Mechanical FixturesMECHANICAL PERMIT APPLICATION FORM 4415/- 4a-21 ., Ik nformat on 'orsh-et 7 JOB STREET ADDRE'S: , / �. eZ72 D / CITY/STATE/ZIP OWNER: MAILING DDRF«SS CONTRACTOR: (Stree a .67 ,,allh%/ 01 MAILING ADDRESS: (a/ (Street) PARCEL BER: PHONE NUMBER: 4-' (C y/State) (Zip) LICENSE NUMBER: Se-//-A-S.E--* - 2;Ati PHONE NUMBE' : 2,c-/(% - //%D K 44 / ' (QJ /Om 41r2/I City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH OF UNITS UNIT DESCRIPTION AMOUNT DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER HEATING EQUIPMENT <100,000 BTU HEATING EQUIPMENT +100,000 BTU GAS PIPING (1 - 4 OUTLETS) GAS PIVING (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 USED APPLIANCE <400;000 BTU' USED APPLIANCE >400,000, -BTU AIR HANDLER <10;000CFM','`" AIR HANDLER >10,000'CFM / 1 l x$10.00 x 25.00 x 10.00 x 12.00 X 15.QQ X 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 .= /a pv /ao f /4o_ NOTE: /MyfIIMUM PE IT FEE IS $35.00 - t _ Spokane County Department' of Building .and -Safe t- .' West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 SUBTOTAL PLUS: PROCESSING FEE + $ 25.00 EQUALS: -TOTAL PERMIT --FEE-DUE -