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1993, 08-10 Permit App: 93006763 Mechanical Fixtures
MECHAW CALlipERMI: APPLICATION FORM Infor.-nation Workstieet JOB STREET ADDRESS: N 4 7 n s T i 1 1 i an CITY/STATE/ZIP: Spokane , WA 99216 OWNER: Kevin Norquist - MAILING ADDRESS: PARCEL NUMBER: PHONE NUMBER: 924-4710 (Street) (CitylState) SUNLOI107J6 (Zip) CONTRACTOR: Inland Heating & Cooling MAILING ADDRESS: LICENSE NUMBER: SUNLOI101JB PHONE NUMBER: 455-!4l47 3655 Govt. Way 1112 Coeur d'Alene, ID 83814 DESCRIPTION (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE (Zip) NUMBER OF UNITS X EACH UNIT = AMOUNT ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOODSTOVE/INSERT GAS WATER HEATER GAS EQUIPMENT<100,000 BTU (INCLUDES GAS EQUIPMENT+100,000 BTU DUCTWORK) GAS:eseiNG {EAOUTLET) BOILER/REFRIG 1-100M BTU BOILERIREFA(GJ'1O1_500M BTU BOILER/REFRIG 501-1,000M BTU BOILER/REFRIG 1,0001-1750M BTU BOILER/REFRIG +1,750M BTU HEATPUMP•.&.,AIR CONDITIONER 0-3 TONS HEAT PUMP & AIR CONDITIONER 3-15 TONS H..EATAUMP `siAlt3 CONDITIONER 15-.30 TONS HEAT PUMP & AIR CONDITIONER 30-50 TONS HE443:4102Alit CONDITIONER' 450; TONS .VENTILATING FANS EVAPORATIVE,.00L.ERS . ;:.. . TYPE 1 HOOD (PER 12' OR 12' PTN. OF HOOD) TYPE U:H©00 CLOTHES DRYER RANGE GAS LOG MISCELLANEOUS (NOT COVERED ELSEWHERE UNUSTED GAS APPLL►NCE <400A00 BTU UUNSTED GAS APPLIANCE >400J000 8TU USED APPLIANCE <400.000 BTU USED APPLIANCE >400p00 gTU AIR HANDLER <10.000 CPU AIR HANDLER >10.000 CFI( NOTE: MINIMUM PERMIT FEE IS 235.00 SIGNATURE 1 1 2 x 10.00 = x 25.00 = x 10.00 = x 12.00 x 15.00 = 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 - 1 x12.00 x 15.00 10 00 12.00 2.00 SUBTOTAL 5 24.00 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE 49.00 =5 Spokane County Division of Buildings