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1990, 09-21 Permit App: 90004827 Mechanical Fixtures MECHANICAL PERMIT APPLICATION FORM Infprmation Worksheet / JOB STREET AbDRESS: ��� 6--e- C��'Ci�it T� CITY/STATE/ZIP: 91n3 l PARCEL NUMBER: OWNER: PHONE NUMBER: % 753 MAILING ADDRESS: P /` %'C% c-�tE ��� ��� �'/J1 . 't-/��c<�i� c1 Cc17 (Street) (City/State) (Zip) CONTRACTOR , J/0(1i LICENSE NUMBER: AIk.D Er4-/{o/T60 PHONE NUMBER: A/F'7 3(gE' MAILING ADDRESS: E ) 8/ 6 -F"r c/ S tp % ) (Street) % (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE I NUMBER X EACH DESCRIPTION OF UNITS UNIT = AMOUNT DUCTWORK SYSTEM x$10.00 = WOODSTOVE/INSERT x 25.00 = GAS WATER HEATER / x 10.00 = JG CDD HEATING EQUIPMENT <100,000 BTU / x 12.00 = /.;?-cc= 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 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 $ 0u PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT NOTE: MINIMUM PERMIT FEE IS $35.00 FEE DUE = $ L`Y'O& SIGNATURE ``7,'7r 2° 7-1C-427) Spokane Spokane County Department of Building_ and Safety West 1303 Broadway Avenue Spokane, WA 9260 (5 9) 456-3675