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1993, 04-22 Permit App: 93002788 Mechanical FixturesMECHANCCAL.- PERMIT APPLICATION FORM Information Workstieet JOB STREET ADDRESS: 11010 E. Sundown CITY/STATE/ZIP: Spokane 99206 PARCEL NUMBER- '/553. ' 03D4 OWNER: John Giesen PHONE NUMBER: 922-0$54 MAILING ADDRESS: (Street) (City/State) SUNLOI107J6 (ZIP) CONTRACTOR: Inland Heating & Cooling MAILING ADDRESS: LICENSE NUMBER: SUNLOI1OIJB PHONE NUMBER: 455-4147 3655 Govt. Way 1112 Coeur d'Alene, ID 83814 (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER OF UNITS DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOOOSTOVE/INSERT GAS WATER HEATER GAS-EQUIPMENT<100,000 BTU (INCLUDES GAS EQUIPMENT +100,000 BTU DUCTWORK) GASPIPING EAOUTL BOILER/REFRIG 1-100M BTU BOILERIREFRIG1101-S00M BTU BOILER/REFRIG 501-1,000M BTU BOILER/REFRIG 1,0001:-1,750M BTU BOILER/REFRIG +1,750M BTU HEATPUMPAIR;CONDITIONER 0-3 TONS HEAT PUMP & AIR CONDITIONER 3-15 TONS HEATPUMPi&`sA113:CONDIT1ONER ` 5-30TONS HEAT PUMP & AIR CONDITIONER 30-50 TONS HEATPLt.0.0 & gCONDITIONER x+50 TONS •VENTILATING FANS EVAPORATIVEAOLERS TYPE I H000 (PER 12' OR 12' PTN. OF HOOD) TYPE1r44 XWK r 4 CLOTHES DRYER RANGE .. GAS LOG MISCELLANEOUS (NOT COVERED ELSEWHERE UNLISTED GAS APPLE <400,000 BTU ULIINSTED GAS APPLIANCE >400.000 BTU USED APPLIANCE «00.000 BTU USED APPLIANCE x.000 QTU AfA HANDLER <10.000 CFM AIR HANDLER >10,000 CFII4 NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE X EACH UNIT = AMOUNT 1 1 2 x 10.00 = x 25.00 = x 10.00 = x 12.00 = x 15.03 = 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 = x50.00 = x 10.00 x 10.00 = x1C.00 x 10.00 x 10.00 x 50.00 x100.00 x 50.00 - x100.00 x 12.00 x 15.00 = 10.00 12.00 2.00 SUBTOTAL S 24.00 PLUS: PROCESSING FEE + $ 25.00 EOUALS: TOTAL PERMIT FEE DUE 49.00 =5 Spokane County Division of Buildings