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1991, 11-21 Permit App: 91008100 Mechanical Fixtures 9 / -1/ 00 MECHANICAL PERMIT APPLICATION FORM o foss 3 - .Information Worksheet JOB STREET ADDRESS: 14822 E . 12th CITY/STATE/ZIP: Veradale , WA 99037 PARCEL NUMBER: OWNER: Larry Honneger PHONE NUMBER: 924-2983 MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: Allied Heating LICENSE NUMBER: ALLIEI*200D4 PHONE NUMBER: 928-8252 MAILING ADDRESS: 9309 E . Trent Spokane , WA 99206 (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE -- NUMBER X EACH DESCRIPTION OF UNITS UNIT = AMOUNT DUCTWORK SYSTEM 1 x$10.00 = Ipdob WOODSTOVE/INSERT x 25.00 = GAS WATER HEATER x 10.00 = HEATING EQUIPMENT <100,000 BTU 1 x 12.00 = la,o� HEATING EQUIPMENT +100, 000 BTU x 15.00 = GAS PIPING (EA OUTLET) t x 1.00 = /, o 0 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 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 x10.00 = GAS LOG x 10.00 = MISCELLANEOUS (NOT COVERED ELSEWHERE) r_'' • i . - aG` 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 $ 023.60 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT NOTE: MINIMUM PERMIT FEE IS $35.00 FEE DUE = $ i a SIGNATURE /�,-y.9-,i 2 Spokane County Department Spokane,WA 9260 Safety 9) 456-3675 West 1303 Broadway Avenue ry.. tee.., 4.. _.,,r;,M%. ..;.4....,;.,qp•o . ,