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1989, 06-29 Permit App: 89001998 Furnace, Piping 9 .4 MECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: 12920 E. 9th'_ CITY/STATE/ZIP: Spokane , Wa. 99216 PARCEL NUMBER: 2 Z 5--VV dw Y OWNER: Mr_ R Mrs _ Ted Caesar PHONE NUMBER: 928_8033 MAILING ADDRESS: SAME (Street) (City/State) (Zip) CONTRACTOR: Sturm Heating Inc . LICENSE NUMBERTURMI*210 QF PHONE NUMBER: 325-4505 MAILING ADDRESS: E. 204 Indiana Spokane , WA. 99207 (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 1 x 12 . 00 = 12 .00 HEATING EQUIPMENT +100, 000 BTU x 15. 00 = GAS PIPING (1 - 4 OUTLETS) 2 x . 00 `� 2 .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 = 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 $ i 4/.00 PLUS: PROCESSING FEE + $ 25 . 00 EQUALS: TOTAL PERMIT NOTE: MW MUM PERMIT FEE IS $35.00 FEE DUE = $ 39 .00 SIGNATURE � Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675