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1990, 08-01 Permit App: 90003677 AC MECHANICAL PERMVIl,7 A ,PLICATION FORM Infgrmation Worksheet JOB STREET ADDRESS: -5-1=2 / //Z-0C CITY/STATE/ZIP: /,l(. q9.,/2 PARCEL NUMBER: OWNER: /(2. 'i_j �QLd.1 PHONE NUMBER: 6-.5 Co 3 9 3 Co MAILING ADDRESS: C5(4.-,- _ _ (Street) (City/State) (Zip) CONTRACTOR:/7,/et /'i(J/J/ r'��c.�. P LICENSE NUMBER: /1//e///772/'//D/7' PHONE NUMBER: ' 7 c/'D f o/ MAILING ADDRESS: /r/, :5-.2/ Q. /6/, `- '�/�'� GUCl • (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 x 12 . 00 HEATING EQUIPMENT +100, 000 BTU x 15. 00 = GAS PIPING (EA OUTLET) 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 = /.•7• D o 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 $ /7.4'0 PLUS: PROCESSING FEE + $ 25 . 00 EQUALS : TOTAL PERMIT? NOTE: MINIMUM PERMIT FEE IS $35.00 FEE DUE = $ J 40 SIGNATURE Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 9-9260 (5 9) 456-3675