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1991, 07-05 Permit App: 91003992 AC MECHANICAL PERMIT APPLICATION FORM 6--;,r'=7) c Infornatiof� W`otksheet JOB STREET ADDRESS: C/* // /(1 , / f' 4 n L 0-3142' CITY/STATE/ZIP: 4u9 1 LQ7' 99 /(p PARCEL NUMBER: 6/54/).....- 1s0,2_ OWNER: lJ frAke_J (616L PHONE NUMBER: Cio�Cp MAILING ADDRESS: /7/1(Street� t)A v �` (C State 14 C (Zip) CONTRACTOR: ,Qh,r ,/ j '� t�!Y� LICENSE NUMBER: < 677 _ /4( -6/2. 7 2A) PHONE NUMBER: t/86?7 /170 K 3 q t( MAILING ADDRESS: Po 'J-7D -71(J��k - W �?°1 D-o--Q (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER I X EACH DESCRIPTION OF UNITS UNIT = 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. OS = GAS PIPING (1 - 4 OUTLETS) X ' = GAS PIRING (5 OR MORE. EACH: ) 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 _ _ J x 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 $ PLUS: PROCESSING FEE + $ 25 . 00 EQUALS : TOTAL PERMIT //////"'''""'''NOTE: MINIM' • •AfT FEE,� �IS�n $35. 00 FEE DUE = $ SIGNATURE ila 1 r,( d Spokan Cauntj Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675