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1991, 09-30 Permit App: 91006335 Mechanical Fixtures
MECHANICAL PERM &APPLICATION FORM - Information Worksheet JOB STREET ADDRESS: ?(Y/ -Z ., CITY/STATEIZIP• '',_ - r •_ , :ARCEL NUMBER: OWNER: /?7X 4,164c/i�,�' PHONE NUMBER: eiaL�--.2.4/6 MAILING ADDRESS: c C#.#-,-2/1Z, (Street) (City/State) (Zip) CONTRACTOR: Heat Transfer Inc . LICENSE NUMBER: Heatti - 1881n PHONE NUMBER: 3 2 8-3 4 0 0 MAILING ADDRESS: N. 1008 Ruby Spokane , WA 99202 (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = woobsTOVEIINSERT. . « < < . : ..: x 25.00 = GAS WATER HEATER:::::::....................... ......... /- x 10.00 = /eP GAS EQUIPMENT 100,0 BTU(INCL UDE$ j x 12.00 = `2. GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = GAS PIPING.(EA:OUTLET) • 5 x 1.00 ,�'J BOILER/REFRIG 1-100M BTU • • • •• x 12.00 = ;BOIL)=R/R EeA I G;404.,5b n U :::...: :..:::.:�::::..::.� :.::.. • x 20.00 = BOILER/REFRIG 501-1,000M BTU x 25.00 = !BOILER/REFRIG x,0001.-.1,750M BTU x 35.00 = BOILER/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 = - (.7 HEAT PUMP &AIR CONDITIONER 1530 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 = MZSQEAANEOUS(NO7`tOVERED MEWHEAE x 10.00 = UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = . ........................................................................................................................................... .ULINSTED GAS APPLIANCE>400,000 BTU > x100.00= : . .....................:............................................................................::::::::::::::.::::::::::. USED APPLIANCE<400,000 BTU x 50.00 = USED.A.:PU..NG.E;>4t?Ot>00.. TU.�.:::;;:>:.;;.:::::;�:;.�.�:..:�:�:::�;:�::�::�:.:::.:::: x1 AIR HANDLER<10,000 CFM x 12.00 = 15.00 = Alt<tl4ND :.R .;,;:;...:. ;.,:. lit <' < '>`<' x .: _>=. .. x,000�::. . .. ...............................................:.........:.................................:.:::::.:.:..::..:.:.::....:::.,:.;,.::::.;: SUBTOTAL $ Co 7.1.-J PLUS: PROCESSING FEE • +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS:TOTAL PERMIT 8:2.. FEE DUE _$ SIGNATURE ....... Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675