1989, 05-31 Permit App: 89001527 Mechanical Fixtures MECHANICAL VERMr•T APPLICATION FORM
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Information Worksheet
OB STREET ADDRESS: � (--,1-11
q(r`2 44'-'
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ITY/STATE/ZIP; t A I `LU A / PARCEL NUMBER:
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t ,WNER I(]C ,U ns-1 rc�C I� vPiiONE NUMBER:
(AILING ADDRESS':-4
(Stye t) (City/State) (Zip)
Vi I L i r J 1 i j biSiA / , _3/44-
'ONTRACTOR. LICENSE NUMBER:
PHONE NUMB .' : 1e7 - A1/ C) �y
[AILING ADDRESS: " E ) �.` , 4 I` 1 / t- 6- I','/
(Stre- - (City/Sta;:e) (Zip)
.i. MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT = AMOUNT
)UCTWORK SYSTEM x$ 6.50 =
TOODSTOVE/INSERT x 10. 00 =
;AS WATER HEATER x 6. 50 = C , DC'
[EATING EQUIPMENT <100,000 BTU I x 9 . 00 = Cf, c(
[EATING EQUIPMENT +100, 000 BTU x 11. 00 =
AS PIPING (EACH OUTLET: ) 4� x . 50 = 1 ,a0
ZEFRIG 1-100M ETU (NOT A/C OR HEAT PUMP) x 9 . 00 =
ZEFRIG 101-500M BTU x 16. 50 =
[EFRIG 501-1, 000M BTU x 22 .50 =
ZEFRIG 1, 001-1,750M BTU x 33 .50 =
:EFRIG +1,750M BTU x 56.00 =
[EAT PUMP & AIR CONDITIONER 0-3 TONS _ x 9. 00 =
[EAT PUMP & AIR CONDITIONER 3-15 TONS _ x 16.50 =
[EAT PUMP & AIR CONDITIONER 15-30 TONS _ x 22 . 50 =
[EAT PUMP & AIR CONDITIONER 30-50 TONS _ x 33 . 50 =
[EAT PUMP & AIR CONDITIONER +50 TONS _ _ x 56. 00 =
TENTILATING FANS _ _ _ x 4 . 50 =
,VAPORATIVE COOLERS Ix 6. 50 =
[GODS x 6. 50 =
:LOTHES DRYER x 6. 50 =
ZANGE x 6. 50 =
;AS LOG x 6. 50 =
TNLISTED GAS APPLIANCE x 20. 00 =
SIR HANDLER - 10, 000 CFM x 9 . 00 =
SUBTOTAL $ j25V
PLUS: PROCESSING FEE + $ 15. 00
EQUALS: TOTAL PERMIT
NOTE: MINI UM PERMIT �+= - 20.00 FEE DUE = 7%
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Spa o, ne County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675