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1991, 07-02 Permit App: 91003930 Piping MECHANICAL PERMIT APPLICATION FORM ' it ;r o ation Worksheet JOB STREET ADDRESS: 71 7-- _-� c:'' } j )oJi� �r CITY/STATE/ZIP: f C 67 .f =PARCEL NUMBER: OWNER: RD b e)----r I- i -e 1 n 7 PHONE NUMBER: ?' 6 - �6��'.- 7 1 ,� MAILING ADDRESS: 5 - 7 1 7 f\-?a 'j n 1 c r cf 0 (Street) I (City/State) (Zip) To CONTRACTOR: 7e %/-,c, LICENSE NUMBER: _ 6 A-'.-_) ( _i. e ,• PHONE NUMBER: MAILING ADORES ..'::.4'''' �:. it �Lt- z er< "? t^-�v�C. " E (Street) (City/State) 105 (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = WOODSTOVEIII�i�E.........::.:::::::......-----' x25.00 = - .vv.... r...v rv. .vxvw.rrw::::nv.:........::::::vv. .•'_:.: .:-£�:::::v. GAS WATER HEATER x 10.00 = - x 12.00 = S>>TQ1 �l ':�::Opt .:.�: .:..:_r:�L�3..::.:.�.:::::._._:._:.:_:._:::.:_._ GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = ,GAS.PIPING(EAO JTLET ... .. ._: .. ........... . .. .::>:: :... ( x 1.00 = 1 , 0 O BOILER/REFRIG 1-100M BTU x 12.00 = - -= - - x2 . 0 00 = BOILER/REFRIG 501-1,000M BTU x 25.00 = - - 0 = ;:BUIi7/JSgEJ..i�L7 1:FVV►71...�f1��0... .. u..:.... :.::.:r-::.>:.:::i:-:...... ... x350 BOILER/REFRIG+1,750M BTU x 60.00 = HEA'r PUMP &AIR CONDITIONER 0 .3 TONS:=' »" E..:' x 12.00 = HEAT PUMP &AIR CONDITIONER 3-15 TONS x 20.00 = .HEAT PUMP &AIR CONDITIONER 15,-30 TONS ; ':_ > x 25.00 = HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 = HEA' PUMP AIR CONDITIOi ER+50 TONS:: } <>_<<'_< :=<: - -x 60.00 = _ VENTILATING FANS - : x 10.00 = x1 .00 = EYAf'OR�4�>i1l'£000..._..:.:5.::.:•-------"----:..-----------:::----=----:::.:.--��:::::::::�-:::;_ 0 TYPE I HOOD(PER 12' OR 12' PIN. OF HOOD) x 50.00 = = x10 00 = CLOTHES DRYER x 10.00 = x10. 0 = RANGE 0 GAS LOG `_ x 10.00 = MISCELLANEOUS(NOT COVERED ELSEWHERE x 10.00 = UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = ULINSTEDGAS.APPLIANCE>400,000.BTU x100.00= USED APPLIANCE<400,000 BTU x 50.00 = USED:APPLIANCE>440,O0Q BTI :::>>::>;< ...> ;:;`:: :::> x100.00= AIR HANDLER<10,000 CFM x 12.00 = AIR'HANDLER>10,000•CFM . x 15.00 = SUBTOTAL $ PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT FEE DUE = $ 3 . SIGNATURE Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675