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1990, 11-15 Permit App: 90006163 Mechanical Fixtures MECHANICAL PEKIIIT APPLICATION FORM Information Worksheet JOB STREETADDREr : kr) 1 )1(u' 1 ( ;� �� t*- CITY/STATE/ZIP• Al Ar / -. /: L I •- •CEL NUMBER: mak.,. dd' ( C,1 OWNER: ())),L1PHONE NUMBER: MAILING ADD SS: (Street) (City/State) (Zip) CONTRACTOR: ) 11--(j ( �j'(.� 3,Q_ LICENSE NUMBER: /yri) - * �kic PHONE NUMBER: 4 7-ziaarJ MAILING ADDRESS:C/ . jj 11 k!i UD � KCLr2 Q �. (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X ,,EEACH DESCRIPTION OF UNITS UNIT = AMOUNT DUCTWORK SYSTEM $10.00 = WOODSTOVE/INSERT x 25. 00 = GAS WATER HEATER x 10.00 = /CU.CC; HEATING EQUIPMENT <100,000 BTU x 12 . 00 = Ja,J( HEATING EQUIPMENT +100,000 BTU x 15. 00 = GAS PIPING (1 - '4 OUTLETS) / x 4 . 00 = 4-,(D GAS PIING (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 _ _ 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 $ �U PLUS: PROCESSING FEE + $ 25. 00 EQUALS: TOTAL PERMIT- ----------- NOTE: ERMITNOTE: IN 'UM PER I; $35.00 FEE DUE _ $ 51 -00 SIGNAL URE I , / ` .i/,/ Spokane Cou Department of Building and Safety • ' • •st 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675