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1992, 06-26 Permit App: 92004767 Mechanical Fixtures S\`o30 \11 P* io.90 .A/51' ko roo-'—s— p'� lb ` 2° MECHANICAL PERMIT APPLICATION FORM ' I, Information Worksheet_ � -DA JOB STREET ADDRESS: / L.:2-2 /yS52 ' CITY/STATE/ZIP:, >2� 6.),A 'j9,1�'b' P• 'OEL-Nfi BER: OWNER: ' ,C422'"--- 2 •1.12 PHONE NUMBER: ,-,�- U 7 7/ 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) MECHANICAT. WOR_KSHEE'/FEE SCHEDULE . 1;•.•..y;r,. I NUMBER X EACH DESCRIPTION E OF UNITS UNIT = AMOUNT DUCTWORK SYSTEM ! x$10.00.,= WOODSTOVE/INSERT x,-25.00 ; GAS WATER HEATER X10 00r � HEATING EQUIPMENT <100, 000 BTU . `-I' *•-� '` x,�12 00rp ,..w; i 0,0 HEATING EQUIPMENT +100, 000 BTU Xs(•15` 00' ) kw GAS PIPING.::(EA OUTLET) x '.:'1 00; REFRIG 1-1OOM BTU. (NOT A/C OR. HEAT PUMP) . ., x.,7;12 00, •4 _ REFRIG 101-500M .BTU - _ ,.:.,A1::.•,• x 20' 00 j,;�>a`° x,,Y. . :,, - ts-1 X 25:00, ,:S rh, ., REFRIG 501-1;OOOM; BTU. — —• — REFRIG .1. 001-1 �750M, BTU : •.,...� 3.5,.00 .445..h`t:., • • REFRIG +1,750M•BTU , - - ' 7,q,it x ;6000+ �L ,.;,w0,,:•,,, HEAT'PUMPV&'. AIR!(CONDITIONER',0-3' TONS?_= 0,,i- x •-2.00',1 r -':` 41100 �� �` ✓,-.`.".a by ,. M.,�.;• .. HEAT,'PUMP''&''AIR;`CONDITIONER�:3-15- TONS _ :,* X 20..00 ;dt'•. ,c-=� HEAT PUMP :& AIR,'CONDITIONER- 15-30 TONS _ .5+,'• x '25''`00. -- I:�'. w HEAT PUMP & AIR CONDITIONER 30-50 TONS • • 4s•-••,*. x� 35.001; sip�..t:vf•Ca' • HEAT PUMP & .AIR CONDITIONER +50 TONS - _ • x,46,0.,004.,= ,A414....:,, •- VENTILATING FANS x 1000: EVAPORATIVE ' COOLERS x. 10:00;_= , TYPE I HOOD (PER 12 ' OR 12 ' PTN. OF' HOOD) x 50.00::.= • TYPE II HOOD x; 10.001_= . • x^.-10 bo`-t= , RANGCLOE r�RyFR- - - - - - - - X.10.00 - RANGE 7: 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 $ l./,0 0 PLUS: PROCESSING FEE +.. $ 25. 00 EQUALS: TOTAL PERMIT Ley Q(� NOTE: MINIMUM PERMIT F E IS $35. 00 FEE DUE = $ '7 SIGNATURE /2 (7.� 4� �Ct L. Spokane County Department of Buildingand Safety West 1303 Broadway Avenue Spokane, WA 260 (509) 456-3675