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HomeMy WebLinkAbout1994, 05-26 Permit App: 94004796 Mechanical Fixtures MECHANICAL PERMIT APPLICATION FORM q7 . 41 t0 • Information*orksheet JOB STREET ADDRESS: / 3 N �� 741 'CVA' /S r c.--Lf 1 tS'' CITY/STATE/ZIP: 5 ��,r `‘%t f9,9/4 PARCEL NUMBER: '45030# ('d OWNER:Age PHONE NUMBER: �s -� 7 g/ - -SSG ' MAILING ADDRESS: 15 .30 /„ ��i nom("�o_ ., �Ki,�_�,� 99-g/k (Street) / (City/State) (Zip) CONTRACTOR:/IJzm,--, //tea r r LICENSE NUMBER:NO/Y 3//A t'J a ; PHONE NUMBER: . ?4)/-//9 ;16 MAILING ADDRESS: X- �/o „t _5-A1,4-ha (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT = AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = WOODST VEINS RT ; x 25.00 - GAS WATER HEATER J x 10.00 - /,'),0 0 GAS EQUIPM NT<1 Q0 000 I TU (INCLUDES / x 12.00 = ,1 or) GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = GAS;PIPING(EA;OUTLET).:. i x 1.00 = � v 6 BOILER/REFRIG 1-100M BTU x 12.00 = SOI[ER/REFRIG 101 5GCM BTU x 20.00 = BOILER/REFRIG 501-1,000M BTU x 25.00 BQILER/ EFRIG 1,0001:-l�750M BTU. x 35.00 = BOILER/REFRIG +1,750M BTU x 60.00 = HEAT PUMP AIR CONDITIONER t-3 TONS x 12.00 = HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 = NEAT PUMP&AIR C NDITIONER 15 30 TONS x 25.00 = HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 = HEAT PUMP &AIt CON)ITIONER +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 x1.0.00 = UNLISTED GAS APPLIANCE<400,000 BTU x 50.1)0 = ULINSTED-GAS APPLIANCE>400,000 BTU _ x100.00 = USED APPLIANCE<400,000 BTU x 50.00 = USED APPLIANCE>400,000BTU x100.00 = _ AIR HANDLER <10,000 CFM x 12.00 = AIR.HANDLER.>1;01000 CFM x 15.00 = SUBTOTAL $ Q"°y 00 PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT FEE DUE = $ 4/9,pi) SIGNATURE Gni { Spokane County Division of Buildings West 131 'way Avenue Spokane, WA 99260 (509) 456-3675