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1992, 06-26 Permit App: 92004769 Mechanical Fixtures MECHANICAL PERMIT APPLICATION FORM �K�J ' latInformation Worksheet JOB STREET ADDRESS : / �// C/ ARC - /6/ CITY/STATE/ZIP: Ct.//�f/3e EL 1 BER: OWNER: e.... -.... .z..,€,_2 piet`L PHONE NUMBER: 1.,..V6 077X MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: AIR DESIGN , INC . LICENSE NUMBER: AIRDEI*161JW PHONE NUMBER'_ 487-4328 MAILING ADDRESS: E 1815 FRANCIS SPOKANE WA 99207 (Street) (City/State) (Zip) MECHANICAL WORKSHEE' '/FEE SCHEDULE • ; , ,y.• .f;. I NUMBER X EACH DESCRIPTION f OF UNITS UNIT = AMOUNT DUCTWORK SYSTEM- - - _ - ! x$10.00 ,.= WOQDSTOVE/INS:ERT - - - _ • •:.. x..;25.00;=, GAS WATER BEATER X 10 00 ,' HEATING EQUIPMENT <100, 000 BTU ;�, -,..'` x¢12 OOr tsPxwi'+�,t. + +Ute HEATING EQUIPMENT +100, 000 BTU ''s,, X t,15; 00.x- 1`+a'xw / I ' GAS PIPING;,(EA OUTLET) .••' xr;1 00', r :: REFRIG 1-100M .BTU (NOT A/C OR HEAT PUMP) .•. x?,-;12:00,t, 4'4�'d,' REFRIG 101-500M .BTU 1 k t...• ?A207:06, ,K.4a`` REFRIG 501.1 '000M, BTU: , •+:)'' • ' ''m+ :xt. 25.,00, .----:,. .V. 1).,..., ..,, - REFRIG 1, 001-1,750M, BTU _ _ _ " .. 35100 = 4...4 • ' RE FRIG .+l 750M BTU `' .Si 4- x 60,:00.„rz At,b"+yr i. •', HEAT PUMP/& AIR'CONDITIONER''0-3TONS; • ` ,•0'4. x ..2;,...70• � ��,,.:4-Azc` /'i 0 HEATP' `PUM &''AIR :CONDITIONER�:3-15- TONS _ •_,.s....* x .20 0.0' ' 'dt `+� - � +” ' ,c- " HEAT PUMP & AIR, CONDITIONER.- 15-30 TONS '' x 25:'00 , ta,ts+- HEAT PUMP & AIR`CONDITIONER 30-50 TONS N°-•°}• x+;35.00--.• a +'�k.k ' HEAT PUMP . & . AIR CONDITIONER +50 TONS - _ • xl;6,0..00A•,=. •A'4.14,•'.' VENTILATING FANS x 10.00:i= .& .;:. . EVAPORATIVE 'COOLERS • x 10:00; - TYPE I HOOD (PER 12 ' OR 12 ' PTN. OF' HOOD) x 50.00::= • TYPE II .1OOD - Nr., 10 00 , • CLOTHES DRYER x�-10 00.: r- .. RANGE x-'10 00 GAS c• LOG X.•10: 00'',t;=, + 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 $ 1,/, 00 PLUS: PROCESSING FEE +. $ 25. 00 EQUALS: TOTAL PERMIT �j NOTE: MINIMUM PERMIT FEE IS $35. 00 FEE DUE = $ q edo SIGNATURE /., �l�c /�/ ���1 Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675