1992, 11-23 Permit App: 92010301 Water Heater foal , Scin .4_Es--r 2_,L --17
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JOB STREET ADDRESS: t '-1 `3 o j -
192 Li
CITY/STATE/ZIP: PARCEL NUMBER:
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OWNER:- A--.-, PHONE NUMBER: s'� fI - 4= 2_,-"LL
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: 2 - Ark, -L. LICENSE NUMBER: n 01(4e.....-�-to meati ► t o R L
PHONE NUMBER: QLZ i. 51,0 c,
MAILING ADDRESS: g- 1\8 l- \ev, P-ru S p L142�4 V.3n +►-+.V S.VI' Ce-4 243 kJ
(Street) (Ci y/State) (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 l x 10.00 = r,0.>e_.-
HEATING EQUIPMENT <100,000 BTU x 12.00 =
HEATING EQUIPMENT +100,000 BTU x 15.00 =
GAS PIPING (1 - 4 OUTLETS) x 4.00 =
GAS PIVING (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 $ Lb''.4)
PLUS: PROCESSING FEE + $ 25.00
EQUALS: TOTAL PERMIT
MOTE: It PE PEE I8 $35.00 FEE DUE _ $ 3 __
SIGNATURE_
- Sbokane County Department of Building and Safety.__ ____