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1992, 03-17 Permit App: 92001586 Mechanical Fixtures MECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: /3 57',”1 /c -a.. . • CITY/STATE/ZIIP: i M 94/02/6 PARCEL NUMBER: OWNER: /ge-6 6 arld0 PHONE NUMBERS got W -307/ MAILING ADDRESS: ��- (Street) - (City/State (Zip) CONTRACTOR: A&M QUALITY HEATING LICENSE NUMBER: O1Ao11ANR19"IN 1 E. 1nientiiNKAVE. PHONE NUMBER: 928-21011 SPOKANE; WA 99216 MAILING ADDRESS: (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE EADESCRIPTION OFUNITS XUNIITHH • AMOUNT DUCTWORK SYSTEM •x$10.00 • WOODSTOVE/INSERT x 25.00 • GAS WATER HEATER • / X 10.00 • /0 ,00 HEATING EQUIPMENT <100,000 BTU _ _ _ _ _ / x 12.00. • / ,/oz) HEATING EQUIPMENT +100,000 BTU x 15.00 • GAS PIPING (EA OUTLET) 0 x 1.00 - ;3,O0 REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) X 12.00,411 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 • /0. 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 $ 3 3 00 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT NOTE: MI MUM 'E• IT F/ E IS $35.00 _ FEE DUE = $ /2 0.0 0 SIGNATURE, ____IA LAA '4 AP Spokane County Department •of Buildingland Safety 456-3675 West 1303 Broadway Avenue Spokane, WA