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1990, 09-11 Permit App: 90004517 Piping ` MECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: 5;j; SO �O�I �' 4� J� CITY/STATE/ZIP: ' ' PARCEL NUMBER:�"J ) < -� O/ 'j OWNER: OX/ ,/ti(X /441./4;94-40°:4-.PHONE NUMBER: jc'fr s7c MAILING ADDRESS: (Street) , . (City/State) (Zip) CONTRACTOR'/WCC i LICENSE NUMBER: Ce /,,5' PHO NUMBE.R, : ., / / 411/2 • _MAILING ADDRESS: ,7 " L $11.03 y(Street) .. (CState) .` , (Zip) MECHANICAL WORKSHEET/FEE, SCHEDULE ,, _ ;; NUMBER. X EACH DESCRIPTION OF UNITS . UNIT:`.=.., AMOUNT DUCTWORK SYSTEM _ x$10 00 WOODSTOVE/INSERT _ _ _ .Y X'''',.25....:,00.< ' GAS WATER,:;:HEATER t xs 10:0044 4,.i .. HEATING EQUIPMENT <100,000 •BTU _ ¢ ' x 12 O0 +7 ki °'• ` A V4 HEATING EQUIPMENT '+100,000 'BTU ,;-...-.......•;:',4,,,;„ 'R ,4;,,„ �:'' a x ;15.,00 r. : k GAS',,PIPING';',AEA•.OUTLET .: •:,••,,,, ...;.....,:.,,,,,,.:-....,,„v„. x 1.00t= ,. N '+ .r.: . REFRIG ;.1 100M.,BTUOT A/itTHEAT PUMP)`. - - '; ;4 .00 ` m . "k.V7 r REFRIG,101,7500M:,, BTU_ `� :_ ," x 20..0 , �w z . ,��. �� r� — — � ��r. i sly ,4:41-. f,,„,,,,,,,,, �ti ry< 3 1j��. n , f ',.•',::‘..:','.?,:''' '*'''--.,' c `F 46..?1 r"* 1 X 5 0' Asx � 3 :,REFRIG. .'501 ,1;DOOM BTU , �N , ,���, ,� z � , .� , REFRIG 1,0'01 1,750M .BTU..jr.,. . — ....,,7r.,'-‘' ,—� '�-r x 0 , . icyy�—r.' 5 z ! k !,-.� J'60 X0.0 � .d 6�n.,'1f4..-� REFRIG ',. .17.''''',1,50M BTU � : � � iF - Y ,HEAT, PUMP & `FAIR 'CONDITIONER '0 3 TONS 0 ;', 4 4` "X7441 X* '2 ' �' ` `� .A.1 `' ., 15 iSTONS.;,, 1 W 44,E jai. ki t ," Ox xtiV} ,1,� r� .'t< , f i PUMP & AIR' CONDITIONER3 ', ..HEAT"HEAT.PUMP & AIR;`CONDITIONER, 15 30.'•TONS <- i ; `s 4'fs ;r C,`.0325 00 �' i HEAT -PUMP' &',AIRT`CONDITIONER;30 -50 .TONS` ,. ' ` ', , '''4oZx' 5 0 r "x" HEAT:..PUMP .& .AIR CONDITIONER S.+501.:,TONS i` v,..,',',.,-',-,.- -; xl,,60:00 , '- ; ' {i VENTILATING _FANS '' --,,,,,i1Y6,-.'. x10.00. s$-4,. -_ t ; EVAPORATIVE 'COOLERS • x 10.00 i A • TYPE .1i HOOD: (PER 12' OR . 12' PTN OF� HOODj x50.,00�y TYPE,.II :HOOD - `` ; x .10.00 CLOTHES DRYER x 10.00 ;:r,�.:0- 3 ,,, • — — x.. 10.00 M" ,,, 6 'ir, GAS LOG- - - - - - - - - - - « 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 $ / '14 • PLUS: PROCESSING FEE 1/ $ 25.00 EQUALS: TOTAL PERMIT NOTE: MINIMUM PERMIT FEE IS $35.00 FEE DUE = $ 30 49 SIGNATURE Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675