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1992, 04-30 Permit App: 92002962 Mechanical Fixtures
4-033; �3 �� ,,`Lon F{ltri-- 1� �• ��a %,-0MECHANICA ;P -ER IITon APPLICATION FORM JOB STREET ADDRESS: ,r 99€9a1 Attti CITY/STATE/ZIP: /,U,rf/J/Jel //Ai ige2/7 PARCEL NUMBER: OWNER'. 44-/-1(1/4/41947 PHONE NUMBER: 7.,,71-7,0/C MAILING ADDRESS: /. (Street) (City/State) (Zip) • .CONTRACTOR: AIR DESIGN. INC. LICENSE NUMBER:.' AIRDEI*161JW PHONE "NUMBER:''_y g7 -.-3L8) SPOKANE WA 99207 ,.(City/State) . (Zip) 9a -act 19(09 MAILING ADDRESS: E 1815 FRANCIS . (Street).. MECHANICAL WORKSHEET/FEE SCHEDULE, NUMBER X EACH DESCRIPTION OF UNITS- DUCTWORK NITS DUCTWORK SYSTEM WOODSTOVE/INSERT" GAS WATER,:HEATER HEATING EQUIPMENT <100,000,)BTU HEATING EQUIPMENT"+100-,000•BTJ GASPIPING):(EA OUTLET) -- ,: REFRIG 1-100M.;BTU.".(NOT"A/C'OR.HEAT,-PUMP)r,." REFRIG_,101-500M .BTU' = .,REFRIG_!.501-1"; oo0BTU_ REFRIG :1,001 1;750M,BTU_;; HEAT-:'PUMPAIR'i•,CONDITIONER"'0-3 'TONS. HEAT''PUMPAIR`'CONDITIONERc.1-15:TONS 'HEAT:..PUMPAIR;CONDITIONER:15-30 TONS__;<: HEAT.PUMP'& AIR'.CONDITIONER:30-50TONS:_• HEAT:PUMP:&,AIR,. CONDITIONER:+50 TONS _ VENTILATING'FANS • EVAPORATIVE' COOLERS .'TYPE:I HOOD (PER 12' . TYPE'II HOOD CLOTHES DRYER. • NGE .. GAS LOG' • - MISCELLANEOUS. (NOT COVERED ELSEWHERE) :UNLISTED GAS APPLIANCE <400,000 BTU UNLISTED GAS APPLIANCE >400;000 BTU ' 'USED'APPLIANCE <400,000"BTU .USED APPLIANC5: >400,000 BTU AIR'HANDLER <10,000 CFM- ' AIR,HANDLER >10,000 CFM OR 12' PTN. OF HOOD) = AMOUNT x$10.00,"= x25.00 x'.1200 yS, y x112oo::= X20:U0l,- 5cj25b0,=1 1c135-00',:= 0 x460,00.t= 3& -12Th'- x*20 : 00:y;, x 60JOOS•= x:10:00;= xi 10:00,;= x-50,00 x; 10:00,x= x,10'.00!=, x.10.00'.= X:50;00'= x100'.00::= x 50.00'= x100.00 = x 12.00-= x 15.00 = NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE 6 //�//A// .Spokane. County Department of Building and Safety . West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 SUBTOTAL $ rA S/49, PLUS: PROCESSING FEE 25.00 EQUALS: TOTAL PERMIT FEE DUE =$ 5-a, Ufl