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1990, 04-11 Permit App: 90001400 AC
MECHANICAL P " WN . APPLICATION FORM Information Worksheet JOB STREET ADDRESS: J . 'y._LUIIyC//y/I X"/' -f CITY/STATE/ZIP: <I'�JPARCEL NUMBER: /� OWNER: ii� � 1lqjg/C%f� PHONE NUMBER: MAILING ADDRESS: V S f <tQ /% (Street) (City/State) �J (zip) CONTRACTOR: /[�//,Cn )�&. ,/i!� LICENSE NUMBER:Z-77/�'A+�'�T��%� / �yJ PHONE NUMBER: qqroc`%�3p� MAILING ADDRESS: /0Z//"� (Street) (City/State) (Zip) r MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS ITNIT = AMOUNT DUCTWORK SYSTEM_ _ _ _ _ _ _ _ _ _ _ _ WOODSTOVE/INSERT _ _ _ _ _ _ _ _ _ _ _ _ GAS WATER HEATER _ _ _ _ _ _ _ _ _ _ _ HEATING EQUIPMENT <100,000 BTU _ _ _ _ _ HEATING EQUIPMENT +100,000 BTU _ _ _ _ _ GAS PIPING (EA OUTLET) _ _ _ _ _ _ _ _ _ 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 & AIR CONDITIONER 0-3 TONS _ 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 _ _ _ _ _ _ _ _ _ _ _ _ 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 _ _ _ _ _ _ _ _ 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 x 12.00 x 15.00 / SUBTOTAL I $ PLUS: PROCESSING FEE+ $ 25.00 (EQUALS: TOTAL PERMIT ? O J NOTE:MINIMUM PERMIT FEE IS $35.00 I( FEE DUE SIGNATURE_ Spokane County Department of Building and Safety West 1303 Broadwav Avenue Spokane, WA 9-9260 (509) 456-3675