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1992, 10-02 Permit App: 920008656 Mechanical Fixtures NIECHAN!CAL PE• MIT APPLICATION FORM ,, _^,I Iva* In`o�:nation Worksheet r` �'Wt f la/WS- JOB ayJOB STREET ADDRESS: F . 9615 1 0th St . CITY/STATE/ZIP: Spokane , WA 99206 _ PARCEL NUMBER: Dr OWNER: George Guinn PHONE NUMBER: ( 509) 922-5491 MAILING ADDRESS: Same (Street) (City/State) SUNLOI107J6 (Zip) CONTRACTOR: Inland Heating & Cooling LICENSE NUMBER: SUNLOI101JB PHONE NUMBER: 455-4147 MAILING ADDRESS: 3655 Govt. Way 1112 Coeur d'Alene, ID 83814 (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) x 10.00 = WOODS T OVE/INSERT x 25.00 = - GAS WATER HEATER 1 x 10.00 = 1 0 . 0 0 GAS EQUIPMENT<100,000:BTU (INCLUDES 1 x 12.00 = 12 . 00 GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.03 = GASPIPING{EA OUTLET) • 2 x 1.00 = 2 . 00 BOILER/REFRIG 1-100M BTU x 12.00 = BOILER/REFRIG101-5500M BTU. • x 20.00 = BOILER/REFRIG 501-1,000M BTU x 25.00 = BOILER/REFRIG 1,0001 1,750M BTU • x 35.00 = BOILER/REFRIG +1,750M BTU x 60.00 = HP& EAT PUMAIR CONDITIONER 0-3 TONS x 12.00 = HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 = HEAT PUMP AIR CONDI<IONER y 0 TONS x 25.00 = HEAT PUMP&AIR CONDITIONER 30-50 TONS x 35.00 = HEAT PUMP:$4J CONDITIONER+50 TONS - x 60.00 = ,VENTILATING FANS x 10.00 = EVAPORATIVEs900LERS x 10.00 = TYPE I HOOD(PER 12' OR 12' PTN. OF HOOD) x 50.00 = TYPE U-HOOD` <`- x 10.00 = CLOTHES DRYER x 10.00 = RANGE 100:0000 . GAS LOG x 1 MISCELLANEOUS(NOT COVERED ELSEWHERE x 10.00 UNLISTED GAS APPLIANCE <400.000 BTU x 50.00 - ULINSTFD GAS APPUMNCE>400.000 BTU x100.00 USED APPLIANCE<400.000 BTU x 50.00 - USED APPLL NCE>AMMO STU x100.00 - MR HANDLER <10.000 CF-14 I I x 12.00 = I AIR HANDLER>10,000 CFU x 15.00 = 1 SUBTOTAL $ 24 00 PLUS: PROCESSING FEE + $ 25.00 NOTE: MINIMUM PERMIT FEE IS 535.00 EQUALS: TOTAL PERMIT 49 . 00 FEE DUE = S SIGNATURE / ©/0' Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675