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1989, 06-27 Permit App: 89001952 Mechanical Fixtures AS �� MECHANICAL PERMIT APPtirCATION FORM 620)(a Information� Worksheet F/ E5-.73 J� JOB STREET ADDRESS: 73 it 4 ( CITY/STATE/ZIP /. ' s ��w7/, PARCEL NUMBER: 0551/-6//C _ OWNER: / a?)0.7)-',4A , PHONE NUMBER: - 7 7 MAI LING ADDRESS: .3 c'-n/1l� 2Z/ (Street) (City/State) (Zip) CONTRACTOR: A 0 F� Q °s'.',�Ta ,...., 1pa Jv LICENSE NUMBER: 14/�iLAHE /dl A// E. 12710 InJiana PHONE NUMBER: 9a , -,Q/O Q Spokane, G'asilin ion 99`''.3 MAILING ADDRESS: (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE I NUMBER I X EACH DESCRIPTION yF UNITS UNIT = AMOUNT DUCTWORK SYSTEM x$10. 00 = WOODSTOVE/INSERT x 25.00 = GAS WATER HEATER x 10. 00 = HEATING EQUIPMENT <100, 000 BTU r x 12.00 = (c2 , OQ HEATING EQUIPMENT +100,000 BTU x 15. 00 = GAS PIPING (1 - 4 OUTLETS) r x 4. 00 = 4. 00 GAS PIVING (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 = te2 , p 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 $ r2E OD PLUS: PROCESSING FEE + $ 25. 00 EQUALS: TOTAL PERMIT NOTE: M IMSM PERM T FEE IS $35.00 FEE DUE = $ S-3,6 0 SIGNATURE , Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675