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1992, 06-12 Permit App: 92004282 Heat Pump MECHANICAL PERMIT APPLICATION FORM Information Worksheet ( I -7 ( 14 JOB STREET ADDRESS: 3812 S . Sunderland CITY/STATE/ZIP: Spokane . WA 99206 PARCEL NUMBER: OWNER: Jim Leach PHONE NUMBER: NAILING ADDRESS: (Street) (City/State) (Zip) CQNTRACTOR: Allied Heating , Inc . LICENSE NUMBER: ALLIEI*200D4 PHONE NUMBER: 928-8252 MAILING ADDRESS: 9309 E . Trent SDnkane WA 992(16 (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT = AMOUNT DUCTWORK SYSTEM x$10. 00 = WOCIDSTOVE/INSERT x 25. 00 = GAEI WATER HEATER x 10. 00 = IEATING EQUIPMENT <100, 000 BTU x 12. 00 = HEATING EQUIPMENT +100, 000 BTU x 15. 00 = CAE 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 = EVhPORATIVE COOLERS x 10. 00 = TYIPE I HOOD (PER 12 ' OR 12 ' PTN. OF HOOD) x 50. 00 = L'Y1?E II HOOD x 10. 00 = CI.,PTHES DRYER x 10. 00 = RANGE x 10. 00 = QA:f LOG x 10. 00 = MI:iCELLANEOUS (NOT COVERED ELSEWHERE)_ _ x 10. 00 = LN1pISTED GAS APPLIANCE <400, 000 BTU_ _ x 50. 00 = Uj11JISTED GAS APPLIANCE >400, 000 BTU_ _ _ x100. 00 = USIM APPLIANCE <400, 000 BTU x 50. 00 = US1:D APPLIANCE >400, 000 BTU x100. 00 = All HANDLER <10, 000 CFM x 12 . 00 = A,I4 HANDLER >10, 000 CFM x 15. 00 = SUBTOTAL $ 12 . 00 PLUS: PROCESSING FEE + $ 25 . 00 EQUALS: TOTAL PERMIT} NOTE: MINIMUM PERMIT FEE IS $35.00 FEE DUE = $ 37 . 00 SIt,NATURE Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675