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1992, 11-04 Permit App: 92009733 Mechanical Fixtures - `3.0,`,A'' OPS \10 Ht"J Zlnformatirr� Worksheet ^�o(-q �1'J3 JOB STREET ADDRESS: F, 424:444 1471+ 80 CITY/STATE/ZIp!c CANE. VJ 1crZ1 Z,. PARCEL NUMBER: OWNER: LAO .i 0:n-rte. at&G.1"--4 , PHONE NUMBER: S38 -5,454 MAILING ADDRESS: E. 60GO4 ( 47'4- 5v"t'Ir '€ vita, 479.2 / 2- (Street) (City/state) (Zip) CONTRACTOR: DI VC-0 LICENSE NUMBER!i ( vco m..,C, .E1-c.. PHONE NUMBER: 5 4- 7 7 Z S MAILING ADDRESS:p , -7145 rAF4„tl)6.4.,t04 . PvKr 4_,_. 4 Z-0 (Street) (City/State) (Zip) MECHANICAL WURkSHEE'P/FEE SCHEDULE DESCRIPTIONNUMBER X EACH OF UNITS UNIT = AMOUNT DUCTWORR SYSTEM x$10. 00 = WOODSTOVE/INSERT x 25.00 = GAS WATER HEATER I x 10. 00 = 1. 0 • HEATING EQUIPMENT <100+ 000 BTU 1 x 12.00 = I L Oda HEATING EQUIPMENT +100, 000 BTU x 15.00 = GAS PIPING (1 - 4 OUTLETS) - x 4 . 00 = 12.-°c' GAS PIING (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 TONSx 60. 00 = VENTILATING PANS L j _ x 10.00 = EVAPoPATIVt COoLMRg� „ 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 = AIR HANDLER <10, 000 CFM x 12 . 00 = AIR HANDLER >10, 000 CFM x 15. 00 = SUBTOTAL $ 34 at, PLUS: PROCESSING FEE + $ 25. 00 / EQUALS: TOTAL PERMIT- Gv NOTE: ciOxyje .,-flHIT IS $35.00 FEE DUE = $ S`i SIGNATURE 044, Spokane aunty Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675