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1992, 11-06 Permit App: 92009831 Wood Stove MECHANICAL PERMIT APPLICATION FORM \frA CST Information Worksheet /E2 L/0 4z. 6??/ JOB STREET ADDRESS: /'90 f0 CITY/STATE/ZIP: U 1 99'037 PARCEL NUMBER: /1j �1= f--647OWNER: p,.e .. I PHONE NUMBER: 9.294-_ 6z/y MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: LICENSE NUMBER: /t- "T i D c-S /c20 k_9 / PHONE NUMBER: 3.3-4-7 3 88 MAILING ADDRESS: w' �7 -, StreetCi /Sate (Zip) MEC ANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = WoopSTOV 10.4UMESI ` <::»:?. }}?}}}::: :.:>.:.::.?.;:<.;}::. x 25.00 = s Z) -_.................................. •::5;::. ..:..........•:53.::..,•..c:.u•:::nu::.::::�c[:;cfis>Eiii:;;'v'.:+rto3}$�7c?t:.:c3 / � I ZZ) GAS WATER HEATER x 10.00 = GASEQUIPMRNT...1QQ1) BTi ` ��'� n*S< » � < < x12.00 = GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = x 1.00 = BOILER/REFRIG 1-100M BTU x 12.00 = ................................................ .. ::..::..,.....:...:...:...:.......:.:...ii:.............. BpO ERj �yi 0 ��%��:5 ► ::::5. '..?.:f::::.:�.:}::}'>::;>: :,.t...;.::.?..-.}'<.-i} x 20.00 = ,4?�/��i�+. •f71,;���;F�1.�:�Y�•�*•.�•�,��,�,.VV •3Kati:Y.�w�.•id:�5:i�r::3�:::'t2.3:t:3x.::x•:;::3:•}}::Ko}}k:.: BOILER/REFRIG 501-1,000M BTU x 25.00 = BQ1I:f�i/�i.t*E1..�.i.....�<�����S'3 .��.•�� I�x�:;>:�:<<:<v><:}»:�?:: �::;�.:v:<;;:^ x 35.00 BOILER/REFRIG +1,750M BTU x 60.00 = >::>:::::>:::'<>:>_::><::>;:::_;:::: = T »:... x12.00 HAAP111i1If' ��AI����� t�:-�t�1�'�±���•� l�. ... .....CNS:._:::>:.;:..;:.}:.}}:.};:.}:.:;: HEAT PUMP &AIR CONDITIONER 3-15 TONS x 20.00 = HEAT PUMP &AIR CONDITIONER;1,5 3p TON . :::'< ;. x 25.00 = HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 = ti.gaiiegtafti&Alii CONI' #QNH+SO TSN; : < >>> > >. x 60.00 = VENTILATING FANS x 10.00 = ........................................................................................................................................... E 0:. x10 0 = TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 = ......................................................................................................................................... TYPE II HOOD: :...;::>::: ;:: <'>`< :>:: ><:>::;»<»'<>:: :........ . ... . :. x 10.00 = CLOTHES DRYER x 10.00 = ......................................................................................................................................... RAN E x 10.00 = GAS LOG x 10.00 = ...................................................................................................................................... MISCELLANEOUS(NOT.COVERED ELSEWHERE. x 10.00 = UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = . . .......................................................................................................................... ULINST D`;GAS APPLIANC 400,0OA.BTU:... . . ::; x100.00 = USED APPLIANCE<400,000 BTU x 50.00 = x100.00= AIR HANDLER<10,000 CFM x 12.00 x 15.00 = SUBTOTAL $ c PLUS: PROCESSING FEE + $ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT FEE DUE =$ 5?)•CO SIGNATURE --' Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675