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1992, 09-23 Permit App: 92007959 Mechanical Fixtures fA MECHANICAL PERMIT A'FPLICAT1ON FOFih1 C\1- -/ 131 • Information Worksheet , 6�Ck JOB STREET ADDRESS: 1219 N. Rees Rd. CITWSTATEIZIP: Spokane , WA 99216 PARCEL NUMBER: OWNER: Randy Madison PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) SUNLOI101JB (Zip) CONTRACTOR:Inland Heating & Cooling LICENSE NUMBER: SUNL0I107J6 PHONE NUMBER:_ 455-4147 MAILING ADDRESS: 3655 Govt . Way Coeur d 'Alene , ID 83814 (Street) (City/State) Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) 1x 0.00 = W0ODSTOVEIINSERT :; x 25.00 s GAS WATER HEATER - 1 x 10.00 = 10 .00 ..:;:.;::,........ .::...�,.. . ..... .. :- :, •.� x 12.00 = GAS EQ( ENS<100.000 8T(INCWDES.• x 15.03 = GAS EQUIPMENT.100,000 BTU DUCTWORK) 15 . 00 �..u.:..::... Y Y:: 2 x 1.00 = 7. _nn GAS'PP>t1G : .:.. • . . ..�, �,-.�.. :. � BOILERIREFRIG 1-100M BTU x 12.00 =x ,..�"- 22.00 x25.00 = BOILERIREFRIG 501-1.000M BTU :.....,j.�.. .w::.:>-oi-1`75}OM ETU¢" =;< x 35 BOILER/REFRIG+1.750M BTU HEAT . Q 001FRw�o;;3>TON _.. _ x 12.00 -__-- .: .�� �. �...; . •• .� x 20.00 = HEAT PUMP&AIR CONDITIONER 3-15 TONS 4r...7';•7:::;` Z; z, ilitQ O9,E#31,n *NS x 25.00 = HEAT PUMP&AIR CONDITIONER 30-50_TONS x 35.00 _ ° "°"'°` ND IOWER 50 01.0 60.00 = .:. r,:.:.::};�..::..:<:, .:::;.:::.:..:::..... VENTILATING FANS x 10.00 = OVAI��-�:� : * x 10.00 = TYPE I HOOD(PER 12'OR 12' PIN.OF HOOD) x 50.00 = i i'PE ' - :;x • x 10.00 = CLOTHES DRYER x 10.00 = - RANGE . _ x 10.00 = GAS LOG x 10.00 = MISCELLANEOUS(NOT COVERS ELSEWHERE x 10.00 = UNLISTED GAS APPLWICE<400A00 BTU x 50.00 = ULINSTIEO GAS APPLIANCE>400.000 STU x1 00.00= USED APPLIANCE 00.000 BTU x 50.00 = USED APPLIANCE> .000 STU ` x100.00= AIR HANDLER<10.000 Gni t x 12.00 = I AIR HANDLER>10.000 CFM x 15.00 = _ _ 1 SUBTOTAL $ 27 .00 PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT 52 . 00 FEE DUE =$ SIGNATURE &""--2-- Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509)456-3675