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1993, 01-05 Permit App: 93000019 Mechanical Fixtures3502144,,0-1°C L41 Pv 6-7 JOB STREET ADDRESS: CITY/STATE/ZIP:// OWNER: (.ea MECHANICAL PrRMi? Information A2 9 APPLICATION FORM Wprksheet 93-bi c8(9 SPo A,✓L Wh PARCEL NUMBER: M KAneAri- MAILING ADDRESS: CONTRACTOR: E. 7102 96`' (Street)n SNA-PP7 Pi.vmsonI MAILING ADDRESS: nC� AJ PHONE NUMBER: 4'3-o9✓W70 1 ,S -Po GCkvt (City/State) 9®Z 3z4-4 50 (Zip) LICENSE NUMBER: SeJ4PP9c/o4c-3 PHONE NUMBER: }67-i42•1 SQo I✓ AA 9 9201 N 751c /a (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER 1 X EACH OF UNITS UNIT DESCRIPTION = AMOUNT DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER HEATING EQUIPMENT <100,000 BTU HEATING EQUIPMENT +100,000 BTU GAS PIPING (1 - 4 OUTLETS) GAS PIPING (5 OR MORE. EACH:) REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) REFRIG 101-500M BTU REFRIG 501-1,000M BTU REFRIG 1,001-1,750M BTU REFRIG +1,750M BTU HEAT PUMP & AIR CONDITIONER HEAT PUMP & AIR CONDITIONER HEAT PUMP & AIR CONDITIONER HEAT PUMP & AIR CONDITIONER HEAT PUMP & AIR CONDITIONER VENTILATING FANS 0-3 TONS 3-15 TONS 15-30 TONS 30-50 TONS +50 TONS EVAPORATIVE COOLERS TYPE I HOOD (PER 12' OR 12 TYPE II HOOD CLOTHES DRYER RANGE PTN. OF HOOD) GAS LOG MISCELLANEOUS (NOT COVERED ELSEWHERE) UNLISTED GAS APPLIANCE <400,000 BTU UNLISTED GAS APPLIANCE >400,000 BTU USED APPLIANCE <400,000 BTU USED APPLIANCE >400,000 BTU AIR HANDLER <10,000 CFM AIR HANDLER >10,000 CFM 1 x$10.00 = x 25.00 = x 10.00 = X 12.00 = x 15.00 = x 4.00 = x 1.00 = x 12.00 = x 20.00 x 25.00 x 35.00 x 60.00 x 12.00 x 20.00 x 25.00 x 35.00 X 60.00 x 10.00 x 10.00 x 50.00 x 10.00 x 10.00 x 10.00 x 10.00 x 10.00 x 50.00 x100.00 x 50.00 x100.00 x 12.00 x 15.00 13,os NOTE: MINIMUS PE IT FEE IS $35.00 SIGNATURE SUBTOTAL $ 3 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE Spokanb County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675