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1993, 03-26 Permit App: 93001839 Mechanical Fixtures • ECHANHCAL PERMIT APPLICATION FORM o\-3'" Information worksheet. -111 JOB STREET ADDRESS: .. .. 7.-5 ,___N, KcyLE,, _ 2,o,. ..- ...__ ___._—_ — - CITY/STATE/ZIP: ,1>4,NC. 'f:) dicat(G PARCEL NUMBER: _ __ OWNER:filp ; - _40 _ PHONE NUMBER: ci 3r)--al-s9 _ . MAILING ADDRESS: ` ' y11E__ -__... . - (..treet) (City/State) (Zip) CONTRACTOR:S NDS i' o, )di ti1;.._.4TC, C�Wi. LICENSE NUMBER: wH Icp ___ PHONE NUMBER: m-1'111 MAILING ADDRESS: IU+-I'9 - i ..ZUIJ1T__J._._.-- -''►k°' 3 `-�A '19%)(r) ... (Street) (City/State) (Zip) dim"X MECHANICAL WORKSHEFAP/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS 1INIT - AMOUNT DUCTWORK SYSTEM_ _ _ _ x$10. 00 WOODSTOVE/INSERT - - x,25. 00 - GAS WATER HEATER - - - - - I_ X 10.00 l 116,0( __ HEATING EQUIPMENT <100,000 -BTU _ ,, x 12.00 HEATING EQUIPMENT +100, 000 BTU a , ,,` 7 x' 15. 00 + ' GAS. PIPING (EA OUTLET). •_ _ _ _ _ r .1 x 1. 00 L, Oe REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP}, .;. .,i1„,,,..,, , x 12.00 R "' REFRIG 101-500M BTU �,; .� rt..�11,;�. �. X, 120' 0',=.0 . REFRIG 501-1, 000M BTU - -� - - - +.vx :,25.00 REFRIG 1, 001-1,750M am _ , +; _ - _ _ . . x':35 ,00 REFRIG +1,750M BTU _ _ _ _ _ ,' , a,? i ;i x;:,60. 00 z HEAT PUMP &' AIR CONDITIONER ;0-3 TONn ',..3) '040- - - x,:.12.00 - HEAT PUMP & AIR CONDITIONER' 3-15 .TONS 4; ,a 'IrM,',- , x '20: 00 — HEAT PUMP & AIR CONDITIONER';15=30''TONS Y'" x, 25.0 7 HEAT PUMP & AIR CONDITIONER '30-50a5TONS r;�• • •� 1; L �: • x'' 35.:00 -= HEAT PUMP & AIR CONDITIONER +50 TONS i X 60.00 = VENTILATING FANSx 10.00 = EVAPORATIVE ' COOLERS- - - - x 10. 00 • _ TYPE 'I HOOD (PER 12T OR :12 ' PTN. OF HOOD) . X 50. 00.= TYPE II HOOD __. X 10. 00 CLOTHES DRYER - - x 10. 00 RANGE -- - - - - X 10: 00 - GAS TAG - - .__.__ x 10. 0 0 _ 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 <4001000 BTU_ _ _ � -� x 50. 00 - —y USED APPLIANCE >40000 BTU_ - M^ X100. 00 = AIR HANDLER <10,000ICFM - - ' - x 12 . 00 = AIR HANDLER >10,000ICFM - - .} X 15. 00 - SUBTOTAL $ I , PLUS: PROCESSING FEE +' $ 25.00 EQUALS : TOTAL PERMIT NOTE: MINIMUM •ERMIT ,F: IS $35 . 00 FEE ()UE _ $ _SQ_,CC.; SIGNATURE 0V • - - - _ ..._._._ -------- --- Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675 1