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1989, 10-18 Permit App: 89004146 Mechanical Fixtures • MECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: C. Cd VT-3 CITY/STATE/ZIP: ' wr� fl{'1 UDC , PARCEL NUMBER: OWNER: 1, CJ C i i k-- /l J PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: LICENSE NUMBER: 1( �� �� 9 PHONE NUMBER: 107)- LICien ' � 7(r ,Wr) se( .A)cr-a ,Lt�C -zi� MAILING ADDRESS: > 7 ' (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 = 1- ()( HEATING EQUIPMENT +100, 000 BTU x 15 . 00 = GAS PIPING (1 - 4 OUTLETS) x 4 . 00 = 4 (9C- GAS PIPING (5 OR MORE. EACH: ) 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_ __ O _ _ _ _ x 10 . 00 = O TYPE I HOOD (PER 12 ' R12 ' PTN. F 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 $(9 S k_ PLUS: PROCESSING FEE + $ 25 . 00 EQUALS : TOTAL PERMIT} NOTE: MINIMUM PERMIT FEE IS $35. 00 FEE DUE = $ 6 'OC SIGNATURE /7(/ ( �-z2/ Spokane CountyDepartment of Building and Safety West 1383 BroadwaAvenue Snokane. WA 99260 (509) 456-3675