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1991, 08-30 Permit App: 91005472 Mechanical Fixtures MECHANICAL PERMIT APPLICATION FORM • Information Worksheet JOB STREET ADDRESS: (3d? /O P a/-5//-7,2" CITY/STATE/ZIP:(s/OQ14,. C/tif., 99.Q(.PARCEL NUMBER: OWNER: 7©& /4/.097717/4"..-c PHONE NUMBER: 476-1'--/...5- 2 MAILING ADDRESS: / (Street) (City/State) (Zip) CONTRACTOR: Heat Transfer Inc . LICENS'_NUMBER: Heatti - 1881n PHONE NUMBER: 328-3400 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 = OODSTO INSI=4pme _ piiiim> nini ><1 11''€ x 25.00 EI GAS WATER HEATER j x 10.00 = /� GAS EQUIPMENT<i00,000 8TU NCL�IDES<'11`11'`1'111> 'x 12.00 = a GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = .... .................................................................................................................................... GAS PIPING (EA OUTLET) x 1.00 = BOILER/REFRIG 1-100M BTU x 12.00 = 801LEH/AEFA(G:401500MB7Um:*~1' x 20.00 = BOILER/REFRIG 501-1,000M BTU x 25.00 = :BOILtRIRPFRIG>1 0001.1750M BTU: :: ::> > >. :>: :::::>: x 35.00 = BOILER/REFRIG +1,750M BTU x 60.00 = NEAT PUMP.&AIR<CONDITIONER 0 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<I I'HOOD x 10.00 = CLOTHES DRYER x 10.00 = :: ::.:; RANGE ,>:;�: : ::: ::;:::;;:�.:.::::>:;:::::..::::.;;:.::.;::: x 10.00 = GAS LOG x 10.00 = :01 t7!f 15..(NU:.. 0 #REb KOW. Efi .....:}:::::_>: x 10.00 UNLISTED GAS APPLIANCE<400,000 BTU • x 50.00 = ULINSTED GASAPPCIANCE{6400-AC10 STIr <1 ?=1 1 IES x100.00= USED APPUANCE<400,000 BTU x 50.00 US APPCE400sto STU :-...,N: Mai.:. ........::.< ..:.... .....:.,v,-u ..:..... ....,.... :...N..�::n ��" ..,.. �- x100.00 AIR HANDLER<10,000 CFM • x 12.00 = 'AIR RANDLER131O,000 CFM >>g << `< < < ' ` M • x 15.00 = SUBTOTAL $ PLUS: PROCESSING FEE • +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS:TOTAL PERMIT FEE DUE SIGNATURE i ' d / Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675