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1992, 10-13 Permit App: 92008832 Mechanical Fixtures
Mtt.tlANIt01L rthivus ArruWiI WN rump L Information Worksheet LIS' 7 JOB STREET ADDRESS: /// 7' _Information ili ' ,S '/b Vee/e ) CITY/STATE/ZIP:. / / Q ; /12/, wow& PARCEL NUMBER: OWNER: /rf/z&-i-e5 9,-7 PHONE NUMBER: y.? --4!�a-I. MAILING ADDRESS: 5 07k/( l& c 441'r A f0 (Street) (City/State) (Zip) CONTRACTOR: PSA-w.:NoNs 04-G --A0,`,7;-0-c_ LICENSE NUMBER: Roc-k•._-m o_k 1 ( 0 1; 7___ PHONE NUMBER: QL-2_1_ . 5--tic. c, MAILING ADDRESS: e. 't\9 lc_ \nv, Prr.a S t^eJ cf -0'3a .-• . -\&^ � 2-0.42�4" -`r o,42 (Street) (Ci y/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT = AMOUNT DUCTWORK SYSTEM x$10.00 = WOODSTOVE/INSERT x 25.00 = GAS WATER HEATER / x 10.00 = l0 0 HEATING EQUIPMENT <100,000 BTU / x 12.00 = , . 00 HEATING EQUIPMENT +100,000 BTU x 15.00 = GAS PIPING (1 - 4 OUTLETS) ,,7 x 4.00 = .,2_c22 ,0 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 $ 71/c0 PLUS: PROCESSING FEE + $ 25.00 ^ EQUALS: TOTAL PERMIT NOTE: MINIMUM PERMIT FEE IS $35.00 FEE DUE = $ 9!0, SIGNATURE Spokane County Department of Building and Safety__ ___ ____