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1992, 07-27 Permit App: 92005745 Mechanical Fixtures L4s003.°o\,Clo q ' -'5 7'45 MECHANICALLPERMIT APPLICATION FORM q Information Worksheet 1 JOB STREET ADDRESS : ( .\ 1 I M \)1.� '`'�) CITY/STATE/ZIP:< ( )<C�e, 1N, )k GC;�tc-- PARCEL NUMBER: OWNER:C Cy j() fl?Iifl PHONE NUMBER: q,-- _,C-gc)81-- MAILING AD ESS: L, � 1 I S 'D,.,1 C) nk() n P , U )( (10,- 4,4 (Street) (City/State) (Zip) CONTRACTOR: AIR DESIGN . INC , LICENSE NUMBER: AIRDEI*161JW PHONE NUMBER:_ 487-4328 MAILING ADDRESS: E 1815 FRANCIS SPOKANE WA 99207 (Street) (City/State) (Zip) vmmiummiliiimimmimmimmillimilft MECHANICAL WORKSHEET/FEE SCHEDULE . .:•. NUMBER X EACH DESCRIPTION OF UNITS UNIT*. = AMOUNT DUCTWORK SYSTEM - x$10.00.,,= WOODSTOVE/INSERT x -25.00 .= GAS WATER HEATER , 10000I,=O`r3 HEATING EQUIPMENT <100, 000 BTU i .• '' ' ,' x-12.-00e. ,,p., r (JO HEATING EQUIPMENT +100, 000 BTU ^� xA'15` 00, ; I kw•!. ' GAS PIPING. (EA OUTLET) I,.. , x1'::'1 00. k<' Ire REFRIG 1-100M BTU (NOT A/C OR. HEAT PUMP) x.,12 00 '��d� REFRIG 101-500M .BTU .. , 1:: l'1 t..i x 20' 00: ` 3v,4;a<< ,,,A r REFRIG 501-1;000M. BTU_ �. - ` u. [ x25 ,00 LC•:+4c i REFRIG 1, 001-1,750M,. . ,-BTU - - :. ^ 35 004, .4h!..4,:,•(..s ♦.44-A X: .6 0 . 0. ,- :"f'l..(r. G + 75OM�BTU .. REFRIG 1 HEAT:`PUMP"t"&'`AIR',fCONDITIONER r 0-3' TONS* ' r'4'!:' x '2.„t':'9,4; ,�, +$J'i` i t P• s �o-'4.. � x ,2 0 0 ;°, Y C.• ?� s Y,. • . ;.. HEAT�'PUM '&' AIR. CONDITIONER >3-15-.TONS •„•, HEAT PUMP .& AIR, CONDITIONER• 15-30 TONS ti' Y • XI?57.00;,1, t:•�'tfu- HEAT PUMP & AIR CONDITIONER 30-50 TONS _ •:N•!•'* x .5.00, .,.� '' . HEAT PUMP &_AIR CONDITIONER +50 TONS - _ x j6.0.00 = ';‘41 VENTILATING FANS x .1000.s '.,_l EVAPORATIVE ' COOLERS • X10. 00`= TYPE I HOOD (PPP. 12 ' OR 12 ' PTN. OF HOOD) ______ x, .50.00;._ TYPE II HOOD x, 10.00" = • CLOTHES DRYER )6.110 00;, t• .. 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 $ r 3,00 PLUS: PROCESSING FEE +: $ 25. 00 EQUALS: TOTAL PERMIT NOTE: MINIMUM PERMIT F E IS $35. 00 FEE DUE _ $3E10 SIGNATURE /� ��4 -f ? )--,1(-Z---%.,..) Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675