1993, 02-05 Permit App: 93000657 Mechanical Fixtures,11
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Information �
. JOB STREET ADDRESS' s� _..5/��7.& _ )
Cl/5T/21P/2' it , 9q,2 L.2--) PARCEL NUMBER: 44) ��J
OWNER: ; (moi /`--' / / 726c,e _
` O \C 5-
PRONE NUMBER: - c2 627:
MAILING ADDRESS:
(Street)
(City/State) (Zip)
CONTRACTOR: F3 A-41":0 6.1 NSG +- Ail rti►r . LICENSE NUNBER: R :m {ok. i t o S L
PHONE NUMBER: qz.s. - 'S-% c --
MAILING ADDRESS: C «8 t.L w, s g'`a-ict -111' 3
(Street)
111.11111111.11111.111.111.1.111.11111111
(Ci y/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT
DESCRIPTION
- AMOUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (1 - 4 OUTLETS)
GAS PIING (5 OR MORE. EACH:)
REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP)
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
REFRIG 1,001-1,750M BTU
REFRIG +1,750M BTU
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
FANS
0-3 TONS _
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD1
TYPE II HOOD
CLOTHES DRYER
RANGE
GAS TAG
MISCELLANEOUS (NOT COVERED ELSEWHERE)
UNLISTED GAS APPLIANCE <400,000 BTU
UNLISTED GAS APPLIANCE >400,000 BTU
USED APPLIANCE <400,000 BTU =.
USED APPLIANCE >400,000 BTU
AIR HANDLER <10,000 CFM
AIR HANDLER >10,000 CFM
NOTE:
SIGNATURE
K {+S $u.00
t -
SUBTOTAL
x$10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x 4.00 =
x 1.00 =
x 12.00 =
x 20.00
x 25.00 =
x 35.00 =
x 60.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00- =
x 60.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x100.00 =
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
�o o(-)
• CC
PLUS: PROCESSING FEE + $
25.00
EQUALS: TOTAL PERMIT
FEE DUE _ $V CC
Spokane County Deoutaent and !au!_.
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