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1992, 05-27 Permit App: 92003763 Heat Pump MECHANICAL PERMIT APPLICATION FORM 9a m 7 c3 Information Worksheet , Ar I \ JOB STREET ADDRESS: 3815 S . Sunderland CITY/STATE/ZIP: Spokane , WA 99206 PARCEL NUMBER: OWNER: Howard Miller PHONE NUMBER: 924-1753 MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: Allied Heating , Inc . LICENSE NUMBER: ALLIEI*200d4 PHONE NUMBER: 928-8252 MAILING ADDRESS: 9309 E . Trent Spokane , WA 99206 (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UTNIT = AMOUNT DUCTWORK SYSTEM x$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 = 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 _ _ 1 x 12 . 00 = 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 = TYPE II HOOD x 10. 00 = CLOTHES DRYER X 10. 00 = RANGE x 10. 00 = 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 $ 12 . 00 PLUS: PROCESSING FEE + $ 25. 00 EQUALS: TOTAL PERMIT 37 . 00 NOTE: MINIMUM PERMIT FEE IS $35.00 FEE DUE _ $ SIGNATURE ( ('- ,-( c-„--%;,j Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675