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1992, 03-30 Permit App: 92001966 Water Heater MECHANICAL PERMIT APPLICATION FORM Information Worksheet "tg(45 JOB STREET ADDRESS: C - 7(O i X-- 971-4 CITY/STATE/ZIP: / CO/ 9 t$PARCEL NUMBER: i OWNER: 4---721 . %�I' . !-)1PHONE NUMBER s_ MAILING ADDRESS: , _ (Street) (City/Stats) (Zip) CONTRACTOR: AAM QUALITY HEATING LICENSE NUMBER: q � uwi9 E.-1nirenIVIANKAVE. PHONE NUMBER: 9211-240 SPOKANg, WA 99216 MAILING ADDRESS: (Street) • (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT - AMOUNT DUCTWORK SYSTEM •410.00 - WOODSTOVE/INSERT x 25.00 - GAS WATER HEATER 1 • X 10.00 = (d :-O) HEATING EQUIPMENT <100,000 BTU x 12.00. - HEATING EQUIPMENT +100,000 BTU x 15.00 - GAS PIPING (EA OUTLET) -% � x1.00. - REFRIG 1-100M BTU (NOT A/C OR T ) X 12.00,• REFRIG 101-500M BTU x 20.00 is 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 $ /6 -60 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT ©� NOTE: M I , P' ' IT IS $35.00 FEE DUE = $ SIGNATURE_ __--.- -� .- I 1,00,/` .L! Spokane County Department of Building,'fld Safety 456-3675 West 1303 Broadway Avenue Spokane, WA 9 1