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1989, 09-27 Permit App: 89003652 Piping, FurnaceMECHANICAL PERMIT APPLICATION FORM Inforaatioii Worksheet JOB STREET ADDRESS: ly CITY/STATE/ZIP: �(iJn u. ���� �' PARCEL NUMBER:_ OWNER: 'i i '7 I- /' • < f - , PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: Heat Transfer Inc. -ICENSE NUMBER: HEATTI-188LN PHONE NUMBER: 328-3400 MAILING ADDRESS: N. 1008 Ruby Spokane, Wa. 99202 (Street) (City/State) (Zip) - MECI(ANICAL WORKSHEET/FEE SCHEDULE BER xUNITH DESCRIPTION I OFUUNITS I I = AMOUNT DUCTWORK SYSTEM _ _ _ WOODSTOVE/INSERT _ _ _ _ _ _ _ _ _ _ _ _ GAS WATER HEATER _ _ _ HEATING EQUIPMENT <100,000 BTU _ _ _ _ _ HEATING EQUIPMENT +100,000 BTU GAS PIPING (1 - 4 OUTLETS) _ _ _ _ _ _ GAS PIQING (5 OR MORE. EACH:)_ _ _ _ REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) REFRIG 101-500M BTU _ _ _ _ _ REFRIG 501-1,000M BTU _ _ _ _ _ _ _ _ REFRIG 1,001-1,750M BTU _ _ _ _ _ _ _ _ REFRIG+1,750M BTU__ HEAT PUMP & AIR CONDITIONER O-3 TONS _ HEAT PUMP & AIR CONDITIONER 3-15 TONS _ HEAT PUMP & AIR CONDITIONER 15-30 TONS _ HEAT PUMP & AIR CONDITIONER 30-50 TONS _ HEAT PUMP & AIR CONDITIONER +50 TONS _ _ VENTILATING FANS _ _ _ _ _ _ _ _ _ _ EVAPORATIVE COOLERS_ TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) TYPE II HOOD _ _ _ _ _ _ _ _ _ _ _ _ _ CLOTHES DRYER_ _ _ _ _ _ _ _ _ _ _ _ _ _ RANGE _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _1V.LV GAS I.OG _ _ MISCELLANEOUS (NOT COVERED ELSEWHERE) UNLISTED GAS APPLIANCE <400,000 BTU _ _ UNLISTED GAS APPLIANCE >400,000 BTU USED APPLIANCE <400,000 BTU_ _ _ _ _ _ _ USED APPLIANCE >400,000 BTU_ _ _ _ _ _ _ AIR HANDLER <10,000 CFM _ _ _ _ _ _ _ _ AIR HANDLER >10,000 CFM x$10.00 = x 25.00 = x 10.00 = x 12.00 = x 15.00 = x 4.00 = x 1.00 = x 12..00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 - x 10.00 - x 10.00 - x 50.00 - x 10.00 - x -- 10.00 = = x 10.00 = x 10.00 = x 50.00 = x100.00 = x 50.00 = X100.00 = x 12.00 = x 15.00 = SUBTOTAL $ /6.00 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT NOTE: MINIMUM PERMIT FEE IS $35.00 FEE DUE _ $ On SIGNATURE Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675