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1992, 10-15 Permit App: 92008945 Gas Log, Piping 6\ 1,9 q 5 g9 I5N N FRMMEGHANICAC PERMIT APPLICATION Information Worksheet JOB STREET ADDRESS: gL 1 /Y /// eS-9G0 CITY/STATE/ZIP: 70-6 t)A 99,14 PARCEL NUMBER:U OWNER: Nd444v PHONE NUMBER: 9e2 a - 3 /797 MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: A&M QUALITY HEATING LICENSE NUMBER: AMOysHR149N] t 1lriiINDANA AVE. PHONE NUMBER: 928-2100 • SPOKANE; WA 99216 MAILING ADDRESS: (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION OFUUNIITTS XUNITH - AMOUNT DUCTWORK SYSTEM 11$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 15.00 - GAS PIPING (EA OUTLET) / x 1.00. ! /, Ora 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 - Z'YPE II HOOD x 10.00 - CLOTHES DRYER x 10.00 - RANGE X 10.00 - GAS LOG / x 10.00 - /0, 0D 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 $ //. 00 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT ` NOTE: MIN UM PERMIT FEE IS $35.00 FEE DUE = $ 3(�.00 SIGNATURE 9\,IL r Spokane County Department of Building 'and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675