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1990, 10-02 Permit App: 90005044 Mechanical Fixtures MECHANICAL PERMIT APPLICATION FORM60 Ir for.-in tion Worksheet JOB STREET ADDRESS: 41 , / 2/ CITY/STATE/ZIP: -k_lC'.f,i 0 /al 99c: 76 PARCEL NUMBER: e/._ G - OD AP9/ OWNER: , /61/-e)-2242-e61-e-- PHONE NUMBER: 9/.) - e/47/S MAILING ADDRESS: --"<ft /7/ 2 t St to `vim � c2/4 (Street) ( y/ ) (Zip) CONTRACTOR: Z.QiJ,O__ / 2LA4- L1 LICENSE NUMBER: se_'-4-/C-,s/2- 3 �:2/tir PHONE NUMBER: q(9//-20 x e/,6 MAI LING ADDRESS // )e)/g 3 0-7 T, Z-C,17O (Street) City/ tate) (Zip) MECHANICAL WORKSHEET/FEE• SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT = AMOUNT DUCTWORK SYSTEM x$10. 00 = WOODSTOVE/INSERT x 25. 00 = GAS WATER HEATER x 10. 00 = HEATING EQUIPMENT <100,000 BTU / x 12 .00 = _ HEATING EQUIPMENT +100, 000 BTU x 15 GAS PIPING (1 4- OUTLETS) / x -_ / GAS PIING (5 OR MORE. EACH: ) 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 = REFRIG 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 $/_5- PLUS: /PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT e 00 NOTE: , • MUM , ' E IS 35.00 FEE DUE = $ 3 � iii ,i"irr SIGNATURE AI//,, ,,�M�air Spoka e Co ty Department of Building and Safety West ima Rrnariwav tvenne Snnkane_ WA 99260 (5091 456-3675