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1992, 09-14 Permit App: 92007589 Mechanical Fixtures MEC,' AICAL PERMIT APPLICATION FOT-'1 9 2 - 7 7 information Worksheet JOB STREET ADDRESS: 3808 Woodward / 3/5 7 CITY/STATE/ZIP: Spokane . WA 99206 PARCEL NUMBER: OWNER: Frank Antonovic'h PHONE NUMBER: 924 7555 MAILING ADDRESS: (Street) (City/State) S U N L O I 10 7 J 6 (Zip) CONTRACTOR: Inland Heating & Cooling LICENSENUMBER:SUNLOIHO1JB PHONE NUMBER:_ 455-4147 MAILING ADDRESS: 3655 Govt . Way Coeur d 'Alene , ID 83814 (Street) (City/State) (ZP) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER 1 X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) _ x 10.00 - ...•. WOODSTOVE/INSERT •.... . :,.. x 2 .00 = r. GAS WATER HEATER 1 x 10.00 = 10 . 00 04.00:1040"090.0.00:. �BTU:(INCL`UDES- • X 12. _ GAS EQUIPMENT+100.00 BTU DUCTWORK) 1 x 15.03 = 15 . 00 ::: . ......... 2 x 1.00 = 2 nn �BOILER/REFRIG 1-100M BTU x 12.00 = OV n f www Lsaf ...w..• ` •:�<•:a ri.N{liflii:" ..';'k.: x 20.00 = BOILER/REFRIG 501-1.000M BTU x 25.00 = ,.,,�. �¢.��.::.:.:..: b�:>.,;>.:� ;, x 35.00 = BQQ,W1F.A.. G,O001:,;,A;`'1511M ETI: .::::>..... BOILER/REFRIG+1.750M BTU x 60.00 = , ,.;,..•:.,,...., v M,. x 12.00 = HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 = A x 25.00 = HEAT PUMP&AIR CONDITIONER 30-50 TONS x 35.00 = .vim �. ,<� �_:.r�-..� x 60.00 - HEAM � �CON,bf7.O tf g. 0 OlVS .<.:..,..a �::. VENTILATING FANS x 10.00 = �a��,. x 10.00 = a � L -;:;3< : < ; x 50.00 = TYPE I HOOD(PER 1r OR 12' PTR.OF HOOD) ttiotipwri „<,::�:: x 10.00 - CLOTHES DRYER _ ^ x 10.00 = RANGE x 10.00 - GAS LOG x10.00 = MISCELLANEOUS(NOT COVERED ELSEWHERE x 10.00 = UNLISTED GAS APPLIANCE<400A00 STU x 50.00 = MASTED GAS APPUANCE>400.000 STU x100.00= USED APPLJANCE<400.000 BTU x 50.00 = USED APPLIANCE> ,000 STU 1 x100.00= AIR HANDLER<10.000 CFm I 1 x 12.00 = I , . AIR HANDLER>10.000 CFU x 15.00 = SUBTOTAL $ 27 0n PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT 52 . 00 FEE DUE =S SIGNATURE d---- Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675