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1990, 10-25 Permit App: 90005668 Furnace, Piping MECHANICAL PERMIT 4."PI(CATION FORM \kr,,A Information Worksheet i'2 (`1(t(2. JOB STREET ADDRESS: E 164-C1D I + - CI Y/STATE/ZIP: C �O/ftr2 qb ' PARCEL NUMBER: 0_5I/LL ..=. 2475 OWNER: `Yl d7 f 1�,((( 1, PHONE NUMBER: MAILING � _ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: M ly i.L�Q. LICENSE NUMBER:fj-(/kSP]I /5,--qYA PHONE NUMBER: 467-/Inc° i MAILING ADDRESS:F. SX \A/.P%�+VLw ) Cp(47ery �L JCS ag' Street ity/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X ,,EEACH DESCRIPTION OF UNITS UNIT = AMOUNT DUCTWORK SYSTEM $10. 00 = WOODSTOVE/INSERT x 25. 00 = GAS WATER HEATER x 10. 00 = HEATING EQUIPMENT <100,000 BTU / x 12.00 = /2.(r HEATING EQUIPMENT +100,000 BTU x 15. 00 = �� GAS PIPING (1 - '4 OUTLETS) I x 4 . 00 = /4�.C.RJ 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 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 = AIR HANDLER <10, 000 CFM x 12 . 00 = AIR HANDLER >10, 000 CFM x 15. 00 = ehole, LEEN ;(I 5 5/cL1 "I f(r ' SUBTOTAL $ 16 •o / rl�/ , PLUS: PROCESSING FEE`+ $ 25. 00 u (, lJc EQUALS: TOTAL PERMIT NOTE: ,i1IM! • T FEE IS $35.00 FEE DUE = $ 1 ,00 SIGNATUR1 v. // /Nl - "1 14114, Spokan• County Department of Building and Safety 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675