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1978, 08-24 Permit App: 90004585 Furnace, Water Heater MECHANICAL PERMIT APPLICATION FORM ,Information Worksheet JOB STREET ADDRESS: N. 4304 Keller 07j5-“ CITY/STATE/ZIP: Spi ne, Wa 99216PARCEL NUMBER: �j!(l (�� d2- !? OWNER: Bob Degenhardt PHONE NUMBER: 924-4953 MAILING ADDRESS: N_ 4304 Keller Spokane, Wa 99216 (Street) (City/State) (Zip) CONTRACTOR:Norco Heating & Air Cond. Co. LICENSE NUMBER: NORCOHA17ORZ PHONE NUMBER: 534-4975 MAILING ADDRESS: E. 5051 Trent _,Spokane, Wa 99212 (Street) (City/State) (Zip) si .roe MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT = AMOUNT DUCTWORK SYSTEM x$!0. 00 = WOODSTOVE/INSERT x 25. 00 = GAS WATER HEATER X x 10.00 = jQ.Q0 HEATING EQUIPMENT <100, 000 BTU x x 12 . 00 - 12.00 HEATING EQUIPMENT +100, 000 BTU x 15. 00 = GAS PIPING (EA OUTLET) _ x 1.00 = REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) x 12.00 REFRIG 101-500M BTU x 20.00 = REFRIG 501-1, 000M BTU _ _ x 25.00 = P.EFRIG 1, 001-1,750M BTU _ _ x 35.00 = REFRIG +1,750M BTU x 60. 00 HEAT PUMP & AIR CONDITIONER 0-3 TONS 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 = HEAT PUMP & AIR CONDITIONER +50 TONS _ x 60. 00 - VENTILATING FANS _ x 10.00 = EVAPORATIVE COOLERS_ _ x 10. 00 = TYPE I HOOD (PER 12 ' OR 12 ' PTN. OF HOOD) x 50.00 = _ TYPE II HOOD _ x 10. 00 = CLOTHES DRYER _ - x 10. 00 = RANGE x 10. 00 = GAS LOG x 10. 00 = MISCELLANEOUS (NOT COVERED ELSEWHERE)_ _ x 10. 00 = UNLISTED GAS APPLIANCE <400, 000 BTU _ _ x 50. 00 = UNLISTED GAS APPLIANCE >400,000 BTU _ _ x100.00 = USED APPLIANCE <400,000 BTU x 50.00 = USED APPLIANCE >400,000 BTU x100. 00 = AIR HANDLER <10, 000 CFM x 12. 00 = AIR HANDLER >10,000 CFM x 15.00 = SUBTOTAL $ 24_00 PLUS: PROCESSING FEE + $ 25. 00 EQUALS: TOTAL PERMIT NOTE: MINIMUM PERMIT FEE IS $35.00 FEE DUE - $ 44.00 SIGNATURE z- 7,1 , „ Spokane County Department of Building and Safety 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675