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1989, 12-05 Permit App: 89005071 Water Heater MECHANICAL PERMIT APPLICATION FORM j' r'? o Information. Worksheet JOB STREET ADDRESS: /„ .,,,2,0 l 1-L.- CITY/STATE/ZIP: r0Aw 1 /,(�G ` q,-- _ ' PARCEL NUMBER: - 04,1O jj y�{,Lwvt-� j j-) -DCQ OWNER: /!.1/, PHONE NUMBER: MAILING ADDRESS': g 6C,z_U 6po U clg29 (Street) (City/State) (Zip) CONTRACTOR: ;,.A",/ 9 -- /1) 4L' VJ/ _ LICENSE NUMBER: Q-I _ d� - 3'7 / PHONE NUMBER: 1/9/l7D MAILING ADDRESS: '` n j7 �} (Street) (City/State) (Zip) 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 x 10. 00 = HEATING EQUIPMENT <100, 000 BTU x 12 . 00 = HEATING EQUIPMENT +100, 000 BTU x 15. 00 = GAS PIPING (1 - 4 OUTLETS) x 4 . 00 = GAS PIPING (5 OR MORE. EACH: ) x 1. 00 = REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) x 12. 00 = REFRIG 101-500M BTU x 20. 00 = REFRIG 501-1, 000M BTU x 25. 00 = REFRIG 1, 001-1,750M BTU x 35. 00 = REFRIG +1,750M BTU x 60. 00 = HEAT PUMP & AIR CONDITIONER 0-3 TONS _ _ x 12 . 00 = HEAT PUMP & AIR CONDITIONER 3-15 TONS _ x 20. 00 = HEAT PUMP & AIR CONDITIONER 15-30 TONS _ x 25. 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 = TYPE I HOOD (PER 12 ' OR 12 ' PTN. OF HOOD) x 50. 00 = TYPE II HOOD x 10. 00 = CLOTHES DRYER x 10. 00 = 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 $ /b ) PLUS: PROCESSING FEE + $ 25. 00 EQUALS: TOTAL PERMIT NOTE: M NIMUM PERITT FEE Iyp $35.00 FEE DUE _ $ SIGNATURE �J 9 - iO (,(,44 Spokane Coun Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675