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1992, 12-16 Permit App: 92011016 Mechanical Fixtures c‘2_- 1,,25 ( 2,23 ,-6 Z MECHANICAL.PERMIT APPLICATION FORM Information Worksheet 'acJ--\ JOB STREET ADDRESS: 6015 E . 11th C7;TY/STATE/ZIP: Spokane , WA 99212 PARCEL NUMBER: OWNER: Greg Honican PHONE NUMBER: 5:15-R49A 144ILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: Allied Heating , Inc . LICENSE NUMBER: ALLIEI*200D4 PHONE NUMBER: 928-8252 M4ILING ADDRESS: 9309 E . Trent Spokane , WA 99206 • (Street) (City/State) (Zip) 114 MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT = AMOUNT DUCTWORK SYSTEM x$10. 00 = WOODSTOVE/INSERT x 25. 00 = GiS WATER HEATER I x 10.00 = /O. 0 HEATING EQUIPMENT <100, 000 BTU I 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 = 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 $ cx-3 PLUS: PROCESSING FEE + $ 25. 00 EQUALS: TOTAL PERMIT NOTE: MINIMUM PERMIT FEE IS $35.00 FEE DUE _ $ '9-c SIGNATURE -V'" P�' Spokane County Department of Building_ and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675