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1991, 05-09 Permit App: 91002324 Mechanical Fixtures
• 1 .. . MECHANICAL PEAMT APPLICATI5N FORM Information Workshect S. 5315 lir Marter r-, • JOB STREET CITY/STATE/ZIP: S.pokaneW9920.6_ PARCEL NUMBER: • ---- , OWNER: Mrs. Rundle PHONE NUT•4!. FP• ---. -'"`------- - --- -924-4-9-64-- - ---- ----- MAILING ADDRESS: (Street) (City/State) (.',/,i-p) CONTRACTOR: Norco Heatin&A A/C LICENSE N6MBER: NORCOHA17ORZ PHONE IlUMIIER: 534-4975 • I 11. LI NG ADDRESS: E. 5103 Trent Spokanei WA 99212 ... _ ____ (Street.-.) . (City/Sti7itc.) (Zip) t:tii4r.:1=7.7-7,UFAZZLI-7711511MIZZI=2=1:ttin=it:::i.717.71M77,72=.:7;1=52:2=i2"1:1=.17..37.241 MECHANICAL WORNSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS tiksIT = AMOMIT DUCTWORKSYSTEMlx$10.00 = ---------I WOODSTOVE/INSERT Ix 25.0C GAS WATER HEATER X lx 10. 00 ,- i 10.00_ HEATING EQUIPMENT <100, 000 BTU X i x 32 , 00 = .12Ago HEATING EQUIPMENT +100, 000 BTU lx 15. 00 = CAS PIPING (EA OUTLET) 2 Ix 1.00 = -- 2.00 PEFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) .: 12.00 = R , 2EFRIG 101-500M BTU _ . , 0 _ ,s, ..00 - ----------- _ _ _ _ _ _ _ _ _ _ REFRIG 501-1, 000M BTUH. 25. 00 :,, _. _. _ _ _ _ ___ __________ REFRIG 1, 001-1,750M BTUx 35.00 = _ _ - _ ____ ______ REFRIG +1,750M BTU N. 60. 00 = HEAT PUMP & AIR CONDITIONER 0-3 TONS ': 171 .00 = YfEAT PUMP & AIR CONDITIONER 3-15 TON 1 lx 20.00 =- 1 ____.__...._.__._, HEAT PUMf P & AIR CONDITIONER 15-30 TON:: I x. 25. 04 HEAT !":-.UMP & AIR CONDITIONER 30-50 TONS ix 35.00 .-- ,, i HEAT PUMP & AIR CONDITIONER +50 TONS _ _ x 6:::. 00 = VENTILATING FANS :, 10. -0 ------- FA,APORATIVE COOLERS x J.0.00 ..-1 _ TYPE I HOOD (PER 127 6R12! PiN7 OFHOOD) Ix S0.00 =I ' TYPE II HCODI x 10.00 Cr_OTIIES DRYER x 10.00 = _ ix 10.00 = GAS LOG 10 00 ---,. MISCELLAFEOUS (NOT COVERED ELSEOHEREL _ ! : 10. 00 = , TED C.:',,.S APPLIANCE <400, 000 DTU_ UNLISTED GAS APPLIANCE >100, 000 BTUx100 .00 = USED APPLIANCE <400 , 000 ETU _ _ _ : I : x 50.00 = ------- --- _ USED APPLIANCE >400 , 000 BTU x100. 00 = - AIP 1171.NDLER <10 . 000 CFM *1- - - - - - - ----- v 12 00 = --------- -- - _ MR liAnDLER >10 , 000 CFHx 5.00 ------------ - _ 1. ------- SUBTOTAL $ 24.00 PLUF.: PROCESSING FEEI ± $ 25. 00 . 'EC.UALS: TOTAL PERMIT NOTE: MINIMUM PEaMIT FEE IS $35 . 03 [ FEE DUE = c..? 49.00