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1992, 09-23 Permit App: 92007960 Mechanical Fixtures
L\, \u(/)-° °�' ‘C°a' I'-, MECHANICAL PERMIT APPLICATION FORM 0 cA� �-�`� �3 Intl, -nation Worksheet `� JOB STREET ADDRESS: 1210 N. R e e Rd.. CITY/STATEJZIP:Spokane , WA 99216 PARCEL NUMBER: OWNER: Steven Krause PHONE NUMBER: 927-2586 MAILING ADDRESS: (Street) (City/State) S UN L O I 101 J B (Zip) CONTRACTOR: Inland Hea_ting & Cooling LICENSE NUMBER: ST1NT,0I19-7J-6 PHONE NUMBER:_ 455-4147 MAILING ADDRESS: 3655 Govt . Way Coeur d ' Alene , rn 8381'i (Street) (City/State) gip) MECHANICAL WORKSHEET/FEE SCHEDULE _ NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = WOo0ST0VE/INSERT :.:-..K?..:ii'. x25.00 = . 1 x 10.00 = 10.00 GAS WATER HEATER � . ..:;-..::, .,.,..,.,..:.:.....::.::...:: . ......... .-� x 12.00 = GAS'EQOfl MEN 2000 000:8h(INCLUDES GAS EQUIPMENT+100,000 BTU DUCTWORK) 1 x 15.03 = 15 . 00 �...<.... ri, �< : 2 x 1.00 2 . 00 GAS°P1FG' N': . .a...<�,<.,.�..a.,..... JUTS� BOILERIREFRIG 1-100M BTU x 12.00 = .H <1 f$ " x 20.00 = BOA �� . O'f4NTIC'J = .wwvaw•<:;,+ .w.wav:...w.-ri>rt:;:..<axf:•`:>vn::.:.:.: x 25.00 BOILERIREFRIG 501-1,000M� � BTU _ 771 '1,`750M ETU 2 � :: ..- �„<. . . x 35.00 BOILER/REFRIG+1,750M BTU x 60.00 E-I►.,.;PA 0•..vu.i.w.. •tv..F...n....4:xh e NS ; x 12.00 = �? ONE#3�J-3. � ''' `" > '� x 20.00 = HEAT PUMP A AIR CONDITIONER 3-15 TONS ii „. 61.00.7 ,E431$ ,::,.ONS: x 25.00 = w"' X35.00 = HEAT PUMP&AIR CONDITIONER 30-50 TONS `� OND1'10NEA504ONS x 60.00 = H �•M� .. VENTILATING FANS x 10.00 OlAtP�.u<,...wr:�,. �..:.... x 10.00 = TYPE I HOOD(PER 12'OR 12' PTN.OF HOOD) x 50.00 = Ty'PE :: nx 10.00 = CLOTHES DRYERx 10.00 = RANGEx 10.00 = GAS LOG x 10.00 = MISCELLANEOUS(NOT COVERED ELSEWHERE x 10.00 = UNLISTED GAS APPLIANCE<400.000 STU x 50.00 = ULNSTED GAS APPLIANCE)400.000 STU x100.00= USED APPLIANCE<A00.000 STU x 50.00 = USED APPLIANCE x,000 STU x100.00= ALR HANDLER<10.000 CM I x 12.00 = I AtR HANDLER X10.000 CFM x 15.00 = SUBTOTAL S PLUS: PROCESSING FEE +: 225.000 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS:TOTAL PERMIT 52 . 00 FEE DUE =$ SIGNATURE &---- ' / Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA. 99260 (509) 456-3675