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1994, 03-02 Permit App: 94001639 Mechanical Fixtures 1 MECHANICAL PERMIT-APPLICATION FORM --------- information Worksheet '61 / JOB STREET ADDRESS: 41, / 'ei.4 / 424 5,,,, c , • CITY/STATE/ZIP: C, �„� �v � PARCEL NUMBER: , .OWNER: C tom. . ^ - _--__ PHONE NUMBER: 99a2 - '4 4L 58' MAILING ADDRESS: ted.,-,.-i. , (Street) . • (City/State) , j ". -,. (ZIP) •/,i,1.!..,';`'; CONTRACTOR: .(.,vi - .1 LICENSE NUMBER: L.J -l�.?., f' PHONE NUMBER:____Lal- `/ MAILING ADDRESS: / a. //4'O.2 4c"; Z.).*, 9 9 a / ..-. , (Street) (City/State) (Zip) • MECHANICAL WORKSI IEET/FEE SCHEDULE ` ' ` i NUMBER X EACH • DESCRIPTION i .. OF UNITS UNIT =AMOUNT ,,'. , ELECTRIC/DUCTWORK(SEPARATE SYSTEMS W :.:.):...:............. x 10.00 = : .,,i; •::>: 0 .5"K`+0 SIINSI=�2�' :::...::...;:.:.::;::;.;:::.. •..>:.::::::::..:�.:::.:::.:;.;;:;>::::;<> .....:..:.:...:......:....:....:. X25.00 . GAS WATER HEATER / X 10.00 = GAS EQUIPMEN1 10Q,QQ0 BTU (1NGLUDI;S>``' ' .. .> �� GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = AS .:I PI :::... .......... x15.00 = :,,,,.::..,,,, i'.. NG.;..�A'DUT EY • ..: ::..:...:... . .....�.......:.::: . >l :.:....s�:<K:»>��: >>�>�:>::�:�<:::::»::>�>�>>;........ x 1.00 _ BOILER/REFRIG 1-100M BTU x 12.00 = 4ILE':/l 1 '�;:<: ., r :::<<>;:.:;>::>:<>::::::»:>:::::::::: >:<:>>:: x 20.00 = , BOILER/REFRIG 501-1,000M BTU x 25.00 = ,i SOILtf /�iEFtlfG1, a00i L75QM;Sll aioi ,• ' x 35.00 = BOILER/REFRIG +1,750M BTU x 60.00 # ',' NEAP`PUMP AIR G Nr IT IpN R 0 ONS' <` < : ' • " .... x 12.00 = ;, HEAT PUMP &AIR CONDITIONER 3-15 TONS x 20.00 = NEAT POMP& AIf ± C Nn1710R 115 0 CANS ...:........' X25.00 In HEAT PUMP &AIR CONDITIONER 30-50 TONS x35.00 = NEATuMp Nu AiFtt r1N5U TONS » > > »> • x 60.00 = • • VENTILATING FANS Fy . ,--- x 10.00 a , .EV PO. ::. A...Q iATl1/ Ct C):L BS. :::::....: 7 >:>>::: x 10.00 s . TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 = . h ` 'PEIIH � > ....... ......:......... . ................................................... x10.00 = � . 'I1 CLOTHES DRYER x10.00 a :;R :A N 0. GAS SLOG � x10.00 = H MISCELLANE JUS..(NOT COVERED ELSEWHLfl : <`g...... x 10.00 = . UNLISTED GAS APPLIANCE<400,000 BTU `1 ' :::.::: :.;: x 50.00 = ' :ULINSTED GAS APPLIANCE>400,000:GIU.......,><> > > X100.00= USED APPLIANCE<400,000 BTU • ' ;. x 50.00 = .USED APPLIANCE>400 000 I� >:< {: ::>:>:<:;::>:: »;:><:>::::::>: ;:::>;<:...::> ..... .:. .. .:,. . .:;.�U ..... :>.::.::...:...::::::..... x100.00= 1:r AIR HANDLER <10,000 CFM x 12.00 = AIR A' L : ::::.:N :NC : X10..,000 G Mini..>:�it ; iiiiii>`.!iii iiii i ............... .:.:.�...:.......�: : ;;: ;> x 15.00 = i SUBTOTAL $ PLUS: PROCESSING FEE + $ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL.PERMIT ; 1 FEE DUE _$ 4.99. 0') j • . SIGNATURE ', Spo'I' ne County Division of Buildings ..','"';„; :;,.: •-.''',1•;,',.'', West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675