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1992, 08-19 Permit App: 92006607 AC MECHANICAL PERMIT APPLICATION FORM • Information Worksheet JOB STREET ADDRESS: j3gD 4'f -( i CITY/STATE/ZIP: 44 / '/ ' iVi4 99V ' PARCEL NUMBER: OWNER: eu4 0 ,/• PHONE NUMBER: / - 7/ MAILING ADDRESS: (Street) - (City/stag) (Zip) CONTRACTOR: AMM QUALITY HEATING LICENSE NUMBER: ny JIIl991i1 E. eldINDIANKAVE. PHONE NUMBER: 9Z0-24001 SPOKANE;WA 99216 MAILING ADDRESS: (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEESCHEDULE TMDESCRIPTION OESHTT • AMOUNT DUCTWORK SYSTEM _ _ _ •x$10.00 - WOODSTOVE/INSERT x. 25.00 is GAS WATER HEATER 0 x 10..00 • HEATING EQUIPMENT <100,000 BTU _ _ , x 12.00• - HEATING EQUIPMENT +100,000 BTU x 16.00 - GAS PIPING (EA OUTLET) x. 1.00 - REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) x 12.00,E REFRIG 101-500M BTU .. x 20.00 - REFRIG 501-1,000M BTU 0 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 - I�,• 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 is AIR HANDLER <10,000 CFM x 12.00 • AIR HANDLER >10,000 CFM x 15.00 • SUBTOTAL $ /Q. o0 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT NOTE: J1014INIMUM PERM T FEE IIS $35.00 FEE DUE _ $ 3 17 00 SIGNATURE__ •,=._/_' , /- Spokane CountyDepartment of' Building_an Safety West 1303 Broadway venue Spokane. WA 99 1 1 456-3675