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1990, 11-19 Permit App: 90006088 Gas Log, Piping p ,�j l/Q (� 080 /"r�^� 4 52' !'S . v`O�7.3b atic�`�C� Imo MEC ,TICAL PERMIT APPLICATION F0 1 /1/370 !/ Information Worksheet JOB STREET ADDRESS: 5 LiL.J 13 \fsocii. mif Pct © 9-y4/.2 - Q.'/l CITY/STATE/Z IP: brai Ar4 7 7c: PARCEL NUMBER: ,,d-- ‘,2... A Al' OWNER: L e. L JC1' IC f&i r) PHONE NUMBER: 994-9WcD MAILING ADDRESS: 5 5 . If\f C. '/ Y ri rcL Wrcita, e I( %9ja, (Street) (City/State) (Zip) CONTRACTOR: f j1(,ar,--i Pu a�,�s LICENSE NUMBER: _If , Y ;IL. ,y t, 'dr . 1 . _ PHONE NUMBER: MAILING ADDRESS: ' D.cTre,n1- 1k/(,,Q ,WR- 9aO (Street) '(City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE „ .:,F.: NUMBER I X EACH DESCRIPTION OF UNITS UNIT-. = AMOUNT DUCTWORK SYSTEM x$10.00 WOODSTOVE/INSERT x 25.00 GAS WATER HEATER x 10.00 HEATING EQUIPMENT <100,000 BTU x 12.00 HEATING EQUIPMENT +100,000 BTU ':: .:. x 15.00 = i" GAS PIPING (EA OUTLET) •1 : - x 1.00 ),i0C'. ,:;REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP)`' x 12.00 = ,404'4010, REFRIG 101-500M BTU te; _ x 20.00;;= °' 5 4, ,t.' REFRIG 501-1,000M BTU - x 25.OQN d ; ;io!' f REFRIG 1,001-1,750M BTU x 35.00 ,,.:.i . 4r4*' REFRIG +1,750M.BTU x 60.00 ' '.. N� "1' j r '4,• HEAT PUMP &" AIR CONDITIONER' 0-3 TONS :-, x 12.00 ft1 kt- • HEAT PUMP & AIR CONDITIONER 3-15 TONS 4 x' 20 "00 Fits HEAT PUMP & AIR CONDITIONER 15-30 TONS x 25.00:* ' 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 = c, TYPE I HOOD (PER 12 ' OR 12 ' PTN. OF. HOOD) x 50.00 = TYPE II HOOD x 10.00 = 1, CLOTHES DRYER x 10.00 = r RANGE x 10.00 GAS LOG j x 10.00 = /Q• (b 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 $ 1/ . 00 ti PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT NOTE: MINI MINI OM PERMIT EE IS $35.00 FEE DUE _ $ tQ. SIGNATURE 04 f , Spokane County Department of Building_ and Safety West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675